FCA | New Member Application Please note: Your form session will expire at {{ expireDisplay }}. After this time, you’ll need to refresh the page and re-enter the information on this form. New Member Application I hereby declare that the information provided in this membership application form is true and correct to the best of my knowledge. Upon signing this form, I hereby consent to adhere to the terms and conditions set forth by Franchise Council of Australia. I authorise the utilisation of my contact and personal details for communication and purposes related to membership. Full name (as signature) {{ errors.info.signature[0] }} Agree and continue Thank you for your submission We have received your submission and will review it shortly Reference number: #{{ payment.referenceNumber }} Email: {{ form.email }} We'll send you a confirmation email. Please check in your spam folder if you haven't received this in the next 15 minutes. If you have any issues or questions in regards to the form, please contact Franchise Council of Australia at [email protected] Payment Details Payment Method {{ item.name }} Subtotal ex. tax 0" class="flex justify-between items-start gap-3 py-1.5 px-2 text-sm" :class="payment.summary.lineItems.length % 2 === 1 ? 'bg-gray-50' : 'bg-white'" > {{ payment.summary.taxLabel || 'GST' }} 0 ? 'bg-gray-50' : (payment.summary.lineItems.length % 2 === 1 ? 'bg-gray-50' : 'bg-white')" > Invoice total Processing Fee Total due today: Total due upon approval: This will appear in your credit card statement as {{ payment.descriptor }} Your payment method will be securely saved. You will only be charged when your application is approved. If approved, this will appear in your credit card statement as {{ payment.descriptor }} Card number {{ errors.payment }} We found {{ duplicateCheck.existingApplications.length }} existing {{ duplicateCheck.existingApplications.length === 1 ? 'application' : 'applications' }} using this email. You can still submit again if you need to. Submitted Status Refresh of form is required. Please copy any responses, refresh the form and make submission.