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FULL GOSPEL BUSINESS AUSTRALIA
New or Renewing Partner Application
PERSONAL DETAILS
Please provide your personal details as follows
Persons name
*
First name
Last name
Persons address
*
Address line 1
Address line 2
City/Suburb
State/Territory
Postcode
Email address
Home phone
Cell phone
Other phone
Date of Birth
Occupation
Arts and entertainment
Business
Church, missionary and not-for-profit
Domestic and family
Education
Finance
Government and public service
Healthcare and medicine
Industrial and manufacturing
Law enforcement and armed forces
Legal
Media and communications
Primary production and veterinary
Retired or unemployed
Science and technology
Sports
Transport
Denomination
Church
FGBA GATHERING / MEETING GROUP
Please select from drop down list which gathering group you belong to or intend to belong to.
Gathering
*
FGBA Locality
Adelaide City
Adelaide Northeast
Adelaide South
Adelaide West
Alice Springs
Bendigo
Canberra
Central Coast NSW
Central Gippsland
Eurobodalla
Geelong
Glen Waverley
Hobart
Launceston
Naracoorte
North Canberra
Tasmania North
Perth South
Port Macquarie
Port Stephens
Queensland SE
Sydney
PAYMENT
Please select one of the FGBA Partnership fees being paid from the button list below.
If claiming pensioner status, please get approval from your group leader.
FGBA Partnership Fees
$10 Monthly Standard
$5 Monthly Pensioner
$120 Annually Standard
$60 Annually Pensioner
$10 Monthly Standard
$5 Monthly Pensioner
$120 Annually Standard
$60 Annually Pensioner
As you are paying by credit/debit card, the FGBA will automatically charge your card based on the period you select below.
CREDIT CARD DETAILS
Please confirm how frequently you are paying your partnership fees from the drop down list below.
Recurring Period
Frequency of payment
Once per month
Annually
Frequency of payment is either annually or monthly
After the "Submit" button is clicked below, a separate secure form will appear, asking for your credit card details. Please carefully complete this form before submitting this form.
Payment method
Pay FGBA National by credit/debit card
Please check the highlighted fields
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