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I hereby authorise you to pay to THE AMBULANCE EMPLOYEES’ ASSOCIATION OF SOUTH AUSTRALIA hereinafter called “the union” of which I am a member, 'the sum of 1.36% of the base rate per fortnight (hereinafter called “the subscription”) out of any wages or salary due or becoming to me'; by the Government of South Australia, provided:

1. That the authorisation may be cancelled by me upon my subsequent written authority.
2. That where the rates of subscription are varied by the union in accordance with its rules the amount of subscription may be varied by you accordingly following receipt by you of notice in writing from the union of such variation.
3. In the event that I cease at any time to be a member of the union I shall notify the relevant payroll section of the date from which this authorisation shall cease.

1. This form must be personally submitted by the employee (not by an agent). Deductions will occur only where the original of this form duly submitted is forwarded to the relevant payroll section (including by fax/email).
2. Regular fortnightly or monthly deductions only to be made according to the relevant pay period.
3. Unions are to advise departments of variations in scales of rates and subscriptions prescribed by Union rules.
4. Unions are to comply with department procedures after timely advice.
5. Departments are to pay Unions fortnightly or 4 weekly and to supply a reconciliation of total subscriptions deducted where required.
6. Applications for membership will be referred to State Council for admission.
7. The association will not provide any assistance, legal or industrial, related to any issue or event arising prior to the date of this application unless authorised by the State Council specifically. In this circumstance State Council may apply conditions and/or limitations including a payable service fee.
8. These terms and conditions are supplemented by and incorporate the following:
   (a) the terms of use of the site located at:
   → AEA Website Terms & Conditions (Website Terms)
   (b) the privacy policy of the site located at:
   → AEA Website Privacy Policy (Privacy Policy)