Out of home care training

Membership Agreement

Membership will commence immediately from receipt of payment.

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AGENCY DETAILS

Email
Agency name
Contact person(s)
Position
Phone
Fax
Address line 1
Address line 2
City
State
Postcode

STAFF DETAILS

Staff name (s)
up to 2 carers per household per membership

Email address

PAYMENT OPTIONS

Membership option:

Payment is by direct debit or cheque payable to FCOTA. Subscriptions will commence once payment is received.

Account name: FCOTA
Bank: Commonwealth Bank
BSB: 062607
Account number: 10201983

Payment is to be received within 14 days from invoice.

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CONFIDENTIALITY

In signing this membership FCOTA agree to maintain confidentiality at all times according to State and Federal Laws. Staff, agency and carer information will not be shared with any other person outside FCOTA.


AGREEMENT