Membership Application-

Australian Drilling Industry Association
[ACN 002 772 929]

Membership Application and Fees – 2008 / 2009 (Including G.S.T.)

1. CONTRACTORS

Any person, firm or corporation engaged in drilling (any sector) pump or irrigation installation

[A]    Owner/operator up to 4 employees.                                                           $247.00 (includes GST)
[B]    Contractor, 5 - 20 employees                                                                    $425.00 (includes GST)
[C]    Contractor, 20 + employees including branches                                      $835.00 (includes GST)

2. MANUFACTURERS & SUPPLIERS

Any person, firm or corporation engaged in the manufacture, distribution, supply, sales or service of equipment, materials or specialised services used in the wider drilling industry.

[A]    Manufacturers & Suppliers up to 4 employees.                                         $247.00 (includes GST)
[B]    Manufacturers & Suppliers 5 - 20 employees                                            $425.00 (includes GST)
[C]    Manufacturers & Suppliers 20 + employees including branches             $835.00 (includes GST)

3A MINING COMPANIES & CONSULTANTS

Any person or organisation engaged in exploration, evaluation, testing or development of groundwater, mineral resources, foundation engineering, H.D.D. or environmental projects

[1]    Explorers & Consultants up to 4 employees                                      $247.00 (includes GST)
[2]    Explorers & Consultants 5 - 20 employees                                        $425.00 (includes GST)
[3]    Explorers & Consultants 20 + employees including branches         $835.00 (includes GST)

3B STATUTORY AUTHORITIES

Any Statutory Authority engaged in supervision, investigation, regulation, evaluation or development of groundwater or any other relevant sector
$835.00 (includes GST)

4. INDIVIDUAL MEMBERSHIP

Active individual membership is available for any employee in the above categories
$126.00 (includes GST)
NOTE: This category of membership is intended for individual employees, and no company Listings will be accepted. Members in this category have full voting rights

5. OVERSEAS MEMBERSHIP

Overseas Members are ineligible to vote or stand for office at any Association meeting. They are, however, welcome to attend and participate in any State or national meeting.

[A] Individual membership - Overseas $130.00 [GST Not applicable]
[B] Corporate Membership - Overseas $ 230.00 [GST Not applicable]

P.O. BOX 3020, FRANKSTON EAST AUSTRALIA 3199
PHONE [03].9770 4000 / FAX [03].9770 4030 / adia@adia.com.au

To Enroll Now On Line please Complete the Form Below or
Download Membership Application Form

Date **

Applicants Full Name of Individual, Company, Organisation **

Full Address ** Town .. State .. Postcode

Phone .. **

Fax... **

Email
Please be accurate [complete email address]

Website

Category Applied For **

Membership Fee:- **

Person to Contact **

Position/Title **

Postal Address ..[ If Different from above ] incl Postcode please

A.C.N. if applicable

A.B.N. if applicable

Name of Person entitled to Vote at State/ National Meetings

To assist us in Maintaining industry statistics, could you please advise the following [ Which are supplied to the Association in strict confidence ]

Number of Rigs operated

Number of people employed

Please enter "Yes" where applicable, in below Boxes

Main Sector of Work Mineral Waterwell Geotechnical

Environmental Blasthole HDD

Other

Please specify

Please make cheques payable to: Australian Drilling Industry Association
Postal Address: PO Box 3020, Frankston East, Victoria, Australia 3199

If you have any queries regarding membership, please contact the Executive Officer

[ Simon Fitzgerald ], phone [03] 9770 4000 or
Fax [03] 9770 4030

Thank You for becoming a Member of ADIA

ADIA Contact Details
Address : Suites 6 & 7, 85 Bardia Avenue, Seaford, 3198, Victoria Australia
Phone: 03 9770 4000 Fax: 03 9770 4030 E-mail adia@adia.com.au