Apply for Membership

Before you lodge an application for membership to the Master Plumbers and Gasfitters Association of Western Australia, please read our Code of Conduct.

Request an Information Kit

If you’re not sure MPGA is for you, feel free to Contact Us and request a prospective member kit.

Application Form

Please fill out the application below online, or download an  application form an lodge it with us either by FAX or by post. Can you visit our "Contact Us" page for details on how to reach us.

 

1. Registered Trading Name
Entity / Company Name
ABN / ARBN
ACN
Postal Address
Residential Address
Email Address
Website Address
Authorisation to include contact details on MPGA website
First Name
Middle Name
Last Name
Office Phone Number
Office Fax Number
Mobile Number
EnviroWest Certificate number
PLB License Number
Gas License Number
2. Areas of Operation


3. Number of Employees
4. Code of Conduct and Privacy Act (Please tick once you have read the MPGA Code of Conduct & Privacy Amendment Act 2000)

View a copy of the Code of Conduct here.
5. Insurance - Public Liability Policy Details
Please attach copy of your Certificate of Currency
6. Fee Payable (Based on total gross income)


7. Payment options
Credit card
Card Number
Expiry Date
Name on card
Signature
8. Declaration and Authorisation - I/We, the above applicant(s) herein named, apply for membership of Master Plumbers & Gasfitters Association of WA, state that upon acceptance of this application, will abide by the Association's rules, as in force and in the future, in accordance with the wishes of the members.
 

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