Join the CEPU SA

Employment

Employment Classification *

Tradesperson

Trades Assistant

Other

Apprentice

Apprenticeship Dates *

Commencement Date: Day / Month / Year

Completion date (estimate) *

Completion Date: Day / Month / Year

Job Type (eg. Electrician, Plumber) *

Phone

Home Phone

Phone (Mobile) *

Mobile Phone

Email *

Personal Email

Email (Work)

Work Email

Current Employer *

Business Name

Work Location/Site *

Work Location/Site

Department *

Department

Membership

Are you an existing member of CEPU? *

Yes

Membership Number *

Have you previously been a member of a Union? *

Yes

If yes, which Branch/Union? *

Agreement *

I the undersigned hereby agree to become a member of the COMMUNICATIONS ELECTRICAL ELECTRONIC ENERGY INFORMATION POSTAL PLUMBING & ALLIED SERVICES UNION OF SOUTH AUSTRALIA organisation of employees, ELECTRICAL TRADES UNION OF AUSTRALIA, SOUTH AUSTRALIAN BRANCH OR THE PLUMBERS & GAS FITTERS EMPLOYEES UNION OF AUSTRALIA, ADELAIDE BRANCH, respectively, and I promise to pay an Entrance Fee and Contributions. I pledge myself to comply with the Rules of such Union, and to any amendments or additions which are legally made to such Rules. I understand that resignations MUST be in writing, bearing your signature and in accordance with such Rules.

Membership Payment

Total (Yearly Rate) *

Electrical Contracting Industry (ECI) Levy Acknowledgement *

Workers in the electrical contracting industry (excluding apprentices) will be charge an additional levy of $1 per week as contribution towards the ECI hardship fund to support workers facing finacial hardship due to protected action.

Payment Method

Select Payment Method

Credit Card (One time payment/recurring payment)

Direct Debit (Bank Account - recurring payment)

Agree to Direct Debit/Credit Card Fee Agreement *

I the undersigned hereby request you, (CEPU - Electrical, Energy and Services Division), until further notice in writing to debit my credit card account described in the schedule below, any amounts which the Communications, Electrical, Electronic, Energy, Information, Postal, Plumbing and Allied Services Union of Australia - Electrical, Energy and Services Division (SA Branch) may debit me through the Credit Card System.

Please phone 08 8234 2130 or visit our office to provide Credit Card payment details / OR / Submit the form and we will call you to process a Credit Card payment.

Direct Debit - Bank Account (Recurring)

Select payment frequency *

Name of Account *

BSB *

Account Number *

Name of Financial Institution *

Agree to Direct Debit/Credit Card Fee Agreement *

I the undersigned hereby request, the CEPU - Electrical, Energy & Services Division, until further notice in writing to debit my/our account described in the schedule, any amounts which the Communications, Electrical, Electronic, Energy, Information, Postal, Plumbing and Allied Services Union of Australia - Electrical, Energy & Services Division (SA Branch) (“the User”) (User ID No. 061008 may debit or charge me/us through the Direct Debit System. I/We understand and acknowledge that: · The Bank/Financial Institution may in its absolute discretion determine the order of priority of payment by it of any moneys pursuant to this request or any authority or mandate. · The Bank/Financial Institution may in its absolute discretion at any time by notice in writing to me/us terminate this request as to future debits. Note: Direct debiting is not available on the full range of accounts, if in doubt, please refer to your bank/financial institution.

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Joining the CEPU SA is simple and straight forward.

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