SASPA Associate Membership Application SASPA Associate Membership Application Please fill out this application to join as a SASPA Associate Member. Aspiring leaders who are not eligible for full membership are entitled to Associate Membership. They do not have voting rights nor the right to hold office. Associate Membership is $10.00 per fortnight and is deducted from your DECD pay (unless cheque or direct bank deposit is indicated). Please refer to the Memberships page for a description of membership types and benefits. Name First Last PhoneEmail School or WorksiteSchool or Worksite Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Current PositionPlease indicate your current position as an Aspiring Leader in secondary education. DECD Partnership NamePlease enter the name of the DECD Partnership Group you are a part of. These groups were formed as part of the DECD Brighter Futures roll out.Payment Preference* I would like SASPA to deduct fortnightly payments of $10.00 from my DECD salary I am forwarding a cheque for annual payment of my membership ($260.00) I will be making payment via bank transfer (details below) An invoice will be sent to your provided email address after you submit this form. Bank/Internet Transfer Details: Credit Union SA A/C Name: South Australian Secondary Principals Assoc. Inc BSB: 805 007 Member No: 7221 790 PLEASE PROVIDE A REFERENCE FOR BANK/INTERNET TRANSFERS Postal Address: PO Box 297 Hindmarsh SA 5007DECD IDTHIS MUST BE PROVIDED IF YOUR PAYMENT OPTION IS FORTNIGHTLY PAYMENTS.Signature*I authorise payroll deductions of $10.00 per fortnight for my Associate membership of the South Australian Secondary Principals Association Incorporated. I understand that this deduction may be increased in future years to an amount in proportion to any increase in the annual membership fee set each year at the association's Annual General Meeting.PLEASE USE YOUR MOUSE TO SIGN YOUR NAME BY MOVING THE MOUSE CURSOR OVER THE BOXED AREA, HOLDING DOWN THE LEFT CLICK MOUSE BUTTON AND WRITING YOUR NAME/SIGNATURE.