ACCOMMODATION AUSTRALIA (NSW) MEMBER DETAILS UPDATE FORM

Membership Details

Employer of Labour (name/business):

The Employer of Labour is the entity that employs staff and is legally the AA NSW Member; this can be a corporation, partnership or sole trader.

Employer of Labour Type

Freehold Owner

ABN

Licence Number

Nominated Contact

The nominated person is the person representing the Employer of Labour. This person acts as the representative of the AA NSW member

First Name

Last Name

Mobile

Address

City

State

Postcode

Management Details

First Name

Last Name

Email Address

Mobile

Direct Telephone No.

Department

AHA NSW Communications

Opt in to receive AHA NSW communications

YesNo

I understand that to qualify to receive AHA NSW communications, the member property must have gaming facilities. The member acknowledges there may be some cross over between the communications received from AA NSW and AHA NSW.

Declaration

Name of person submitting on behalf of Employer of Labour

Date

This information is collected by AA NSW to facilitate the provision of a product or service. Failure to provide this information to AA NSW is likely to prevent AA NSW from being able to offer you the product or service.

Should you wish to, you can access the information you provide to AA NSW by contacting AA NSW. AA NSW may from time to time use external service providers but will not disclose personal information you provide to any other organisations or individuals, unless required or authorised by law to do so or unless you consent to the disclosure.

AA NSW does not generally provide personal information to overseas parties. If you would like to contact us or lodge a complaint please refer to the AA NSW's Privacy Policy for further details.

You acknowledge that AA NSW requires access to current data in order to effectively represent, and advocate on behalf of the industry and therefore upon payment of the annual subscription fee, you consent to the Independent Liquor and Gaming Authority (or other applicable Government Agency) releasing the necessary gaming machine revenue, profit and tax information to AA NSW for the purpose of compiling industry statistics and other internal purposes relevant to the provision of services to you by AA NSW. This information will not be made public by AA NSW.