Practice Pledge Form Gender Equity Project
Practice Pledge Form – Gender Equity Project
Practice Information (please print or type)
Practice Name
Contact Name
Billing address
City, State, Post Code
Phone
Pledge Information
☐IndividualPledge $500*☐1 to 5 employees $1,000*
☐6 to 15 employees $1,500*☐16+ employees $2,500*
*This is a minimum amount and firms are welcome to pledge more if they wish to.
I/we plan to make this contribution in the form of: ☐credit card ☐request invoice
Amount
/$
Credit card type | Exp. date
Credit card number
Authorised signature
Acknowledgement Information
Please use the following name(s) in all acknowledgements: ______
Name/email of invitee to attend teleconference research briefing______Signature(s)
/Date
Terms & Conditions / Each party grants the other non-exclusive, non-transferable andnon-sub-licensable right during the term of this agreement to reproduce it’s name, logo and trademarks in preparing marketing and promotional materials in connection with the arrangements set out in this agreement. A party must ensure that its use of the other party’s name, logo or trademarks complies at all times with any branding or trademark use guidelines notified to it from time to time by the other party.Except as expressly provided, neither party is granted any other right or license to patents, copyrights, trade secrets, trademarks or other intellectual property rights of the other.
AILA expressly does not grant, and nothing in this agreement will be taken to grant, the pledging practice/individual any right to use or reproduce in any way the logo or trademark of AILA. This is a material provision of this agreement. The term of this agreement if for Phase One of the Gender Equity Project and other initiatives that have been funded from the collective investment of sponsors.
Return completed forms to:
Australian Institute of Landscape Architects
GPO Box 1646 CANBERRA ACT 2601
Phone: 02 6248 9970
Email: Website:
ABN: 84 008 531 851