Surveyors Act 2007, s81

ACT Only Registration – Continuation Notice	

RETURN TO:
Chief Surveyor
ACT Planning and Land Authority
GPO Box 1908
CANBERRA ACT 2601

ACTPLA Transaction Code No. 34-2035

ABN: 46 346 672 655
Tax Invoice

Annual ACT Continuation notice fee for the period 1 July 2008 to 30 June 2009		$346.30
in accordance with the Surveyors (Fees) Determination 2008 (No.1)

GST											$    0.00

Total											$346.30

(please make cheque/money order payable to the ACT Planning and Land Authority)

I, (Name): 
wish to maintain ACT registration and have included payment of the Continuation notice fee.

Date of Birth: 

Residential Address:

Tel: (h) 

Company Name:

Business Address:

Tel: (w) 					(mob):

Fax:						Email:

	
	
Preferred Postal Address:	Home:	Business:

Signature:							Date: