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VAHPA covers all AHP’s in Public and Private Hospitals, Private Allied Health and Radiology, Community and Disability Sectors and Aged Care.

1) Personal Details 2) Finish

My Personal Details

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Allied Health Director
Art Therapist
Behavioural Scientist
Biomedical Engineer
Cardiac Physiologist (Technologist)
Cardiac Sonographer
Child Life Therapist
Community Development Worker
Dental Hygienist
Dental Prosthetist
Dental Technician
Dental Therapist
Dentist
Exercise Physiologist
Health Information Manager
Health Promotions Officer
Mechanical Officer
Medical Imaging Technologist
Medical Laboratory Technician
Medical Photographer/Illustrator
Medical/Hospital Librarian
Music Therapist
Nuclear Medicine Technologist
Occupational Therapist
Optometrist
Oral Health Therapist
Orientation and Mobility Practitioner
Orthoptist
Orthotist / Prosthetist
Other
Physiotherapist
Podiatrist
Psychotherapist
Radiation Engineer
Radiation Therapist
Recreation Therapist
Recreation Worker
Rehabilitation Counsellor
Research Technologist
Safety Officer
Social Planner
Social Worker
Sonographer
Speech Pathologist
Spiritual Care Practitioner
Welfare Worker
Youth Worker
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Australian Catholic University
Australian College of Sports Therapy
Bendigo Tafe
Box Hill Institute
Charles Sturt University
Chisholm Institute
CQUniversity
Deakin University
Federation University
Homesglen
La Trobe University
Mayfield Education
Monash University
Northern Melbourne Institute of TAFE
RMIT University
Southern School of Natural Therapies
Sunraysia Institute of TAFE
Swinburn University of Technology
University Of Melbourne
Victoria University
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University of South Australia
University of Southern Queensland
Queensland University of Technology
Wodonga Institute of TAFE
Charles Darwin University
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My Contact Details

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My Address

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My Interests

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  I would like to receive email notifications including news and event updates through my WORK email (ALTERNATE email).

Office Use

Membership Contributions

^ Associate and Student Members are not eligible for Professional Indemnity Insurance.

+ Terms and conditions apply. See website or 1300 322 917 for Indemnity Insurance policy details.

Membership Type

Membership type is defaulted according to the selection in the `total hours per week employed as a health professional`. If you want to change the membership type, please change the `total hours per week employed as a health professional` in the previous page.
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A3 - Full-time, Part-time or Casual (>24 hours)
A2 - Full-time, Part-time or Casual (>24 hours) - EC years 3-4
A1 - Full-time, Part-time or Casual (>24 hours) - EC years 1-2
B3 - Part-time or Casual (9-24 hrs)
B2 - Part-time or Casual (9-24 hrs) - EC years 3-4
B1 - Part-time or Casual (9-24 hrs) - EC years 1-2
C3 - Part-time or Casual (<9 hrs)
C2 - Part-time or Casual (<9 hrs) - EC years 3-4
C1 - Part-time or Casual (<9 hrs) - EC years 1-2
E - Parental Leave
G - Associate
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Direct Debit Request - Payment Method

direct debit logo ezidebit logo
Directly debit the membership fee from
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I / We authorise Ezidebit Pty Ltd ACN 096 902 813 (User ID No 165969) to debit my/our account at the Financial Institution identified above through the Bulk Electronic Clearing System (BECS) in accordance with the Debit Arrangement stated above and this Direct Debit Request and as per the Ezidebit DDR Service Agreement (Ver 1.5) provided at www.vahpa.asn.au.

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By signing this form, I authorise VAHPA (ABN 38 106 461 384) to arrange, through the Bulk Electronic Clearing System (BECS), payments from my nominated account above in accordance with published membership rate schedules and/or other amounts agreed above. By signing herein I indicate I have understood and agreed to the debit arrangements between VAHPA and myself as set out in this Request and in the Direct Debit Service Agreement terms and conditions available at www.vahpa.asn.au.

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Review Your Application

##memberid##
You are about to submit the following details:

My Personal Details

##firstname##
##middlename##
##lastname##
##preferredname##
##gender##
##pronoun##
##dob##
##graduationdate##
##profession##
##other_profession##
##is_abo_tsi##
##is_hsr##

##university##
##campus##
##coursestudying##

My Contact Details

##primary_email_address##
##alternate_email_address##
##primary_mobile_number##
##alternate_number##

My Address

##home_address1## ##home_address2##
##home_suburb## ##home_state##
##home_postcode##

My Work

##primary_employer##
##primary_workplace##
##other_employer##
##other_employer1##
##other_workplace1##
##other1_employer_other##
##other_employer2##
##other_workplace2##
##other2_employer_other##
##other_employer3##
##other_workplace3##
##other3_employer_other##
##other_workplace_address1## ##other_workplace_address2##
##other_workplace_suburb## ##other_workplace_state##
##other_workplace_postcode##
##total_hours##
##grade##
##grade_other##

My Interests

##interest_list##

Opt In

Opt in to receive emails from VAHPA
##optin## (Personal/Primary Email)
##optinother## (Work/Alternate Email)

Membership Contributions

##membership_type##
##payment_freq##
$##debit_amount##

Direct Debit Request - Payment Method

Name: ##account_name##
BSB: ##bsb##
Bank Account Number: ##account_number##
Name: ##cardholder_name##
Card Type: ##credit_card_type##
Card Number: ##credit_card_number##
Expiry: ##expiry_date##
CVV: ##cvv##

Service Level Agreement From Ezidebit

I/We hereby authorise Ezidebit Pty Ltd ACN 096 902 813 (Direct Debit User ID number 165969) (herein referred to as "Ezidebit") to make periodic debits on behalf of the "Business" as indicated on the attached Direct Debit Request (herein referred to as "the Business").

I/We acknowledge that Ezidebit is acting as a Direct Debit Agent for the Business and that Ezidebit does not provide any goods or services (other than the direct debit collection services to me/us for the Business pursuant to the Direct Debit Request and this DDR Service Agreement) and has no express or implied liability in regards to the goods and services provided by the Business or the terms and conditions of any agreement that I/we have with the Business.

I/We acknowledge that the debit amount will be debited from my/our account according to the terms and conditions of my/our agreement with the Business and the terms and conditions of the Direct Debit Request (and specifically the Debit Arrangement and the Fees/Charges detailed in the Direct Debit Request) and this DDR Service Agreement.

I/We acknowledge that bank account and/or credit card details have been verified against a recent bank statement to ensure accuracy of the details provided and I/we will contact my/our financial institution if I/we are uncertain of the accuracy of these details.

I/We acknowledge that is is my/our responsibility to ensure that there are sufficient cleared funds in the nominated account by the due date to enable the direct debit to be honoured on the debit date. Direct debits normally occur overnight, however transactions can take up to three (3) business days depending on the financial institution. Accordingly, I/we acknowledge and agree that sufficient funds will remain in the nominated account until the direct debit amount has been debited from the account and that if there are insufficient funds available, I/we agree that Ezidebit will not be held responsible for any fees and charges that may be charged by either my/our or its financial institution.

I/We acknowledge that there may be a delay in processing the debit if:-
(1) there is a public or bank holiday on the day of the debit, or any day after the debit date;
(2) a payment request is received by Ezidebit on a day that is not a banking business day in Queensland;
(3) a payment request is received after normal Ezidebit cut off times, being 4:00pm Queensland time, Monday to Friday.
Any payments that fall due on any of the above will be processed on the next business day.

I/We authorise Ezidebit to vary the amount of the payments from time to time as may be agreed by me/us and the Business as provided for within my/our agreement with the Business. I/We authorise Ezidebit to vary the amount of the payments upon receiving instructions from the Business of the agreed variations. I/We do not require Ezidebit to notify me/us of such variations to the debit amount.

I/We acknowledge that Ezidebit is to provide at least 14 days? notice if it proposes to vary any of the terms and conditions of the Direct Debit Request or this DDR Service Agreement including varying any of the terms of the debit arrangements between us.

I/We acknowledge that I/we will contact the Business if I/we wish to alter or defer any of the debit arrangements.

I/We acknowledge that any request by me/us to stop or cancel the debit arrangements will be directed to the Business.

I/We acknowledge that any disputed debit payments will be directed to the Business and/or Ezidebit. If no resolution is forthcoming, I/we agree to contact my/our financial institution.

I/We acknowledge that if a debit is returned by my/our financial institution as unpaid, a failed payment fee is payable by me/us to Ezidebit. I/We will also be responsible for any fees and charges applied by my financial institution for each unsuccessful debit attempt together with any collection fees, including but not limited to any solicitor fees and/or collection agent fee as may be incurred by Ezidebit.

I/We authorise Ezidebit to attempt to re-process any unsuccessful payments as advised by the Business.

I/We acknowledge that certain fees and charges (including setup, variation, SMS or processing fees) may apply to the Direct Debit Request and may be payable to Ezidebit and subject to my/our agreement with the Business agree to pay those fees and charges to Ezidebit.

Credit Card Payments
I/We acknowledge that "Ezidebit" will appear as the merchant for all payments from my/our credit card. I/We acknowledge and agree that Ezidebit will not be held liable for any disputed transactions resulting in the non supply of goods and/or services and that all disputes will be directed to the Business as Ezidebit is acting only as a Direct Debit Agent for the Business. I/We acknowledge and agree that in the event that a claim is made, Ezidebit will not be liable for the refund of any funds and agree to reimburse Ezidebit for any successful claims made by the Card Holder through their financial institution against Ezidebit.

Ezidebit will keep your information about your nominated account at the financial institution private and confidential unless this information is required to investigate a claim made relating to an alleged incorrect or wrongful debit, or as otherwise required by law. Further information relating to Ezidebit?s Privacy Policy can be found at www.ezidebit.com.au

I/we acknowledge that Credit Card Fees are a minimum of the Transaction Fee or the Credit Card Fee, whichever is greater as detailed on the Direct Debit Request.

I/We authorise:
a) Ezidebit to verify details of my/our account with my/our financial institution; and
b) my/our financial institution to release information allowing Ezidebit to verify my/our account details

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I agree to the Terms and Conditions from Ezidebit.

Service Level Agreement From Payment Express

Direct Debit Request Service Agreement

Victorian Allied Health Professionals Association ABN 38 106 461 384

About

This is your Direct Debit Service Agreement with the Victorian Health Professionals Association (VAHPA) ABN 38 106 461 384 (formerly the HSU Health Professionals Vic No. 3 Branch). It explains what your obligations are when undertaking a Direct Debit arrangement with us. It also details what our obligations are to you as your Direct Debit provider.
Please keep this agreement for future reference. It forms part of the terms and conditions of your Direct Debit Request (DDR) and should be read in conjunction with your DDR authorisation.

Definitions

account means the account held at your financial institution from which we are authorised to arrange for funds to be debited.

agreement means this Direct Debit Request Service Agreement between you and us.

banking day means a day other than a Saturday or a Sunday or a public holiday listed throughout Australia.

debit day means the day that payment by you to us is due.

debit payment means a particular transaction where a debit is made.

direct debit request means the Direct Debit Request between us and you.

us or we means Victorian Allied Health Professionals Association (VAHPA), (the Debit User) you have authorised by requesting a Direct Debit Request.

you means the customer who has signed or authorised by other means the Direct Debit Request.

your financial institution means the financial institution nominated by you on the DDR at which the account is maintained.

1. Debiting your account

1.1 By signing a Direct Debit Request or by providing us with a valid instruction, you have authorised us to arrange for funds to be debited from your account. You should refer to the Direct Debit Request and this agreement for the terms of the arrangement between us and you.

1.2 We will only arrange for funds to be debited from your account as authorised in the Direct Debit Request.

2. Amendments by us

2.1 We may vary any details of this agreement or a Direct Debit Request at any time by giving you at least fourteen (14) days written notice.

3. Amendments by you

You may change, stop or defer a debit payment, or terminate this agreement by providing us with at least fourteen (14) days notification by writing to:

Victorian Allied Health Professionals Association
PO Box 13286, Law Courts, Vic 8010
or
by telephoning us on 1300 322 917 during business hours;
or
arranging it through your own financial institution, which is required to act promptly on your instructions.

4. Your obligations

4.1 It is your responsibility to ensure that there are sufficient clear funds available in your account to allow a debit payment to be made in accordance with the Direct Debit Request.

4.2 If there are insufficient clear funds in your account to meet a debit payment:
(a) you may be charged a fee and/or interest by your financial institution;
(b) you may also incur fees or charges imposed or incurred by us; and
(c) you must arrange for the debit payment to be made by another method or arrange for sufficient clear funds to be in your account by an agreed time so that we can process the debit payment.

4.3 You should check your account statement to verify that the amounts debited from your account are correct

5. Dispute

5.1 If you believe that there has been an error in debiting your account, you should notify us directly on 1300 322 917 and confirm that notice in writing with us as soon as possible so that we can resolve your query more quickly. Alternatively you can take it up directly with your financial institution.

5.2 If we conclude as a result of our investigations that your account has been incorrectly debited we will respond to your query by arranging for your financial institution to adjust your account (including interest and charges) accordingly. We will also notify you in writing of the amount by which your account has been adjusted.

5.3 If we conclude as a result of our investigations that your account has not been incorrectly debited we will respond to your query by providing you with reasons and any evidence for this finding in writing.

6. Accounts

You should check:
(a) with your financial institution whether direct debiting is available from your account as direct debiting is not available on all accounts offered by financial institutions.
(b) your account details which you have provided to us are correct by checking them against a recent account statement; and
(c) with your financial institution before completing the Direct Debit Request if you have any queries about how to complete the Direct Debit Request.

7. Confidentiality

7.1 We will keep any information (including your account details) in your Direct Debit Request confidential. We will make reasonable efforts to keep any such information that we have about you secure and to ensure that any of our employees or agents who have access to information about you do not make any unauthorised use, modification, reproduction or disclosure of that information.

7.2 We will only disclose information that we have about you:
(a) to the extent specifically required by law; or
(b) for the purposes of this agreement (including disclosing information in connection with any query or claim).

8. Notice

8.1 If you wish to notify us in writing about anything relating to this agreement, you should write to
Victorian Allied Health Professionals Association
PO Box 13286, Law Courts, Vic 8010

8.2 We will notify you by sending a notice in the ordinary post to the address you have given us in the Direct Debit Request.

8.3 Any notice will be deemed to have been received on the third banking day after posting.

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I agree to the Terms and Conditions from Payment Express.

Declaration

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I certify that the above information is correct. I agree to become a VAHPA member and to abide by the Union's rules. I understand that my membership remains in force until such time that I resign in writing. I understand that if I request support for a pre-existing issue I may be asked to pay an additional pre-existing issue charge. I am not aware of any circumstances that may lead to a potential professional indemnity insurance claim.
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Thank you, your application to join the Victorian Allied Health Professionals Association has been submitted. You will receive an email from us in the next few minutes. If you do not receive an email, please check your spam folder. If you are still unable to locate you email, please contact us by emailing info@vahpa.asn.au or phoning 1300 322 917 during office hours (8AM - 6PM Monday to Friday).
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