APPLICATION FOR DIRECT SELLING AUSTRALIA MEMBERSHIP

Applicants for Direct Selling Australia Membership are assessed against criteria aimed at promoting industry professionalism and consumer protection. To commence the application process applicants are required to give the following information and provide transactional documentation as required to evidence compliance with the Direct Selling Australia Code of Practice. A non-refundable AUD$500 application fee should accompany this application. #ProudToBelong

Please contact Direct Selling Australia should you have any queries.

Email: [email protected]

Phone: 02 9138 0636

APPLICANT CONTACT DETAILS

Person to be contacted about this application(Required)

First Name Last Name

Title(Required)

Email(Required)

Direct Phone(Required)

(Please include country & area codes)

Mobile(Required)

APPLICANT ORGANISATION

Organisation Name(Required)

Australian Business Number (ABN)(Required)

Please provide a short introduction of your company(Required)

Company Logo (High-Res PNG Preferred)(Required)

Max. file size: 128 MB.

Is your company a member of another Direct Selling Association or applying to be one in another Country?(Required)

Yes

If yes, please list the countries you are a member of or applying to be one.

Registered Office(Required)

Address Line 1 City State / Province / Region Postal / Zip Code Country

Business Address (if different to registered office)

Address Line 1 City State / Province / Region Postal / Zip Code Country

Postal Address (if different to registered office)

Address Line 1 City State / Province / Region Postal / Zip Code Country

Contact Details

Website(Required)

Generic Email(Required)

Phone(Required)

(Please include country & area codes)

Company Details

Country of Origin(Required)

Country of Ownership(Required)

Australia

New Zealand

U.S.A

United Kingdom

Other

If other - Please specify:

Trading as(Required)

Sole Trader

Partnership

Company

Registered For GST(Required)

Yes

Please confirm the above information and proceed to the next section(Required)

Yes

CONTACTS

Chief Executive(Required)

First Name Last Name

Title(Required)

Email(Required)

(In keeping with the DSA Constitution, Member organisations must nominate a person to be the primary contact, to represent and bind the Member with the Association and receive all relevant communications – the authorized representative is able to vote at the AGM on behalf of the member)

Direct Selling Australia Authorised Representative(Required)

First Name Last Name

Title(Required)

Email(Required)

Direct Phone(Required)

(Please include country & area codes)

Mobile(Required)

(The Code requires Members designate a person to manage their complaint handling system and who will act as the point of contact with the Association in any related matters)

Code Liaison Officer (Person responsible for upholding Direct Selling Australia's Code of Practice)(Required)

First Name Last Name

Title(Required)

Email(Required)

Direct Phone(Required)

(Please include country & area codes)

Mobile(Required)

(Name of the person responsible for the organisation's financial operations)

Chief Financial Officer(Required)

First Name Last Name

Title(Required)

Email(Required)

Direct Phone(Required)

(Please include country & area codes)

Mobile(Required)

Person Direct Selling Australia should send invoices to:(Required)

Authorised Representative

CEO or GM

Chief Financial Officer

Please confirm the above information and proceed to the next section(Required)

Yes

DIRECT SELLING MODEL

Business Model (Indicate if more than one)(Required)

Party Plan

Hybrid

Door to door

Independent Sales Person (ISP) Agreement(Required)

Agency (Paid Commission)

Distributor (Buy / Resell)

Combination (Buy / Resell plus Commission for online sales)

Who are payments for products made directly to?(Required)

Company

Independent Sales Person

Combination (ISP and direct to Company for online sales)

Compensation Plan(Required)

Single Level

Multi Level

Start-Up Costs for ISP’s is in the form of(Required)

Consultant Sales Kit

Training Fee

Website

Literature

No Start-Up Costs

Sales Kit Cost AUD$(Required)

Sales Kit Retail Value AUD$(Required)

Training Fee Cost AUD$

Website Cost AUD$

Literature Cost AUD$

Is there more than one price point for Start-Up?(Required)

Yes

If yes, please provide details

Is a refund offered for return of Kit / Inventory?(Required)

Yes

If yes, please provide details

Is a refund offered for unused literature?(Required)

Yes

If yes, please provide details

Number of ISP’s (in Aust.)(Required)

Sales at retail value (in Aust.) for previous calendar year:(Required)

AUD$0 – $500K

AUD$501K – $1.0M

AUD$1.0M – $1.5M

AUD$1.5M –$2.0M

AUD$2.0M – $2.5M

AUD$2.5M –$3.0M

Other

Other please advise

Please confirm the above information and proceed to the next section(Required)

Yes

PRODUCT DETAILS

Product Categories(Required)

Aromatherapy

Cleaning Products

Clothing & Accessories

Cosmetics

Food Products

Health & Wellness

Household & Decor

Jewellery

Kitchenware

Learning Products, Toys & Stationery

Nutritional Drinks & Supplements

Scrapbooking & Crafts

Services

Skincare, Personal Care & Fragrances

Other

Other – Please Describe

Brand Name(s) & Product Description

Australian Register of Therapeutic Goods – Are your products(Required)

Listed

Awaiting Approval

Does Not Apply

If applicable, what are the listed products with TGA and their ARTG number?

If applicable, what are the products that are in process of obtaining TGA approval?

Are your products also sold through(Required)

Retail Outlets

Online

Autoship

Direct Marketing

Wholesale

Markets/Fairs

Pop Up Kiosks

Do you have a Written Guarantee?(Required)

Yes

Do you have an Unconditional Guarantee?(Required)

Yes

Customer Guarantee(Required)

30 Days

60 Days

3 Months

6 Months

One Year

Comments

Please confirm the above information and proceed to the next section(Required)

Yes

DOCUMENTATION

A copy of each of the below listed documents is required to consider your application. Please indicate below which of the documents are currently available. Documents can be submitted as an attachment to this form, by email to [email protected] or mail to DSA, Level 16/175 Pitt Street, Sydney NSW 2000 Australia. We will upon receiving your application, reply with an acknowledging email complete with a list of any missing documentation.

Point of Sale Transactional Documentation

Customer Order Form

Customer Invoice

Customer Guarantee

Customer Order Form

Max. file size: 128 MB.

Customer Invoice

Max. file size: 128 MB.

Customer Guarantee

Max. file size: 128 MB.

Current Version of Your

Distributor/Consultant Agreement

Manual / Policies & Procedures

Distributor/Consultant Agreement

Max. file size: 128 MB.

Manual / Policies & Procedures

Max. file size: 128 MB.

Full Details of Your

Compensation Plan

Starter Kit

Compensation Plan

Max. file size: 128 MB.

Starter Kit

Max. file size: 128 MB.

Are these documents currently in final form?

Yes

Is Your Financial Advice Provided(Required)

In House

By an Independent Professional

Name(Required)

First Name Last Name

Organisation (if by an Independent Professional)

Phone

(Please include country & area code)

Mobile

Is Your Legal Advice Provided(Required)

In House

By an Independent Professional

Name(Required)

First Name Last Name

Organisation (if by an Independent Professional)

Phone

(Please include country & area code)

Mobile

Please confirm the above information and proceed to the next section(Required)

Yes

DECLARATION(Required)

I am authorised to make this declaration:

To the best of my knowledge and belief the Applicant’s business operations including the use of point of sale and marketing documentation complies with relevant law.

The Applicant agrees as a condition of Membership to promptly inform the Association of any change in its circumstances, including material changes to its point of sale and marketing documentation, its authorised representative and/or designated person responsible for administering the complaint handling system.

Authorisation - If you are intending to submit an application for membership with Direct Selling Association New Zealand (DSANZ), please tick the box below authorising Direct Selling Australia to share the due diligence with DSANZ. This will streamline your application process. If this is not applicable to you, please select no.(Required)

Yes, I give permission to Direct Selling Australia to share due diligence with DSANZ

No, I do not wish Direct Selling Australia to share due diligence with DSANZ

Full Name(Required)

First Name Last Name

Date(Required)

DD slash MM slash YYYY

PROCESSING FEE

A non-refundable processing fee of AUD$500.00 is payable with this application.

Payment Gateway Preferred(Required)

Credit Card

Non-refundable Application Processing Fee (AUD)(Required)

Price:

Credit Card(Required)

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

This field is for validation purposes and should be left unchanged.

Membership Application

APPLICATION FOR DIRECT SELLING AUSTRALIA MEMBERSHIP

APPLICANT CONTACT DETAILS

APPLICANT ORGANISATION

Contact Details

Company Details

CONTACTS

DIRECT SELLING MODEL

PRODUCT DETAILS

DOCUMENTATION

PROCESSING FEE