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KBDi Student Membership Application
"
*
" indicates required fields
Step
1
of
4
25%
Your Personal Information
Your Name
*
First
Last
Your Email Address
*
Enter Email
Confirm Email
Your Phone
*
Address
*
Street Address
Address Line 2
Suburb
State
Postal Code
Course Information
Course Name
*
Course Provider
*
Student No.
Course Start Date
Anticipated Completion Date
Upload Your Statement of Enrollment
Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB.
Members Portal Login
Set your login details for the KBDi Members Portal.
Password
Enter Password
Confirm Password
Authorisation
Within the last five years, have you or any company you have been a director of been insolvent, bankrupt or under administration, committed a criminal offence or been disqualified by a State Licensing or Home Warranty body?
*
Yes
No
If yes, please provide further details.
Membership Application Authorisation
*
Ticking the box below represents and warrants that the information you provided is true and correct and that if accepted as a member of KBDi, you agree to abide by the KBDi Code of Ethics, Constitution, Policies and Procedures. [Please refer to the KBDi website (www.kbdi.org.au) to view these documents.]
Yes, I agree to abide by the KBDi Code of Ethics, Constitution, Policies and Procedures.
Payment
Payment Options
We offer two payment options for this annual membership. Please select your preferred payment schedule.
Annual Payment
Monthly Payment Plan
Payment Plan Terms & Conditions
This payment option is a 12-month commitment. At the end of your 12 month membership, you will be notified that it will automatically renew for another year unless you cancel. For further information please view the terms and conditions.
I have read and agree to the payment plan
terms and conditions
.
KBDi Student Membership - Annual
Price:
Student Membership per month
Price:
Payments Start
Membership Expiry Date
Total
TOTAL
$13.00 will be charged on the 1st of next month. No funds will be deducted on submission of this form but KBDi will validate your card details.
Payment Method
*
Direct Deposit
Credit Card
Hidden
Payment Plan Start Date
10/02/2023
Credit Card
Card Details
Cardholder Name
