JCC Membership

JCC Membership

Please fill in your information to register as a NEW MEMBER of the Jarrahdale Community Collective. Please note, this information will remain confidential, and unless your circumstance change this form is only required to be completed once.
Personal/Business Details
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone number
Priorities for Jarrahdale

(eg. Preserving the town's historic charm, protecting natural resources, bringing our Community together, more activities being available for locals, etc.)
1.
2.
Would you consider nominating for a Committee position? (not applicable to businesses)

YesNo
If yes, which position/s?

PresidentVice PresidentSecretaryTreasurerExecutive Committee Member
Would you consider volunteering in some way to help the JCC when required?

YesNo. I'm happy just being a member
Please tick all of the below to acknowledge you have read and understood the information*

I wish to become a financial member of the JCC by paying the annual membership fee of $10.00I understand that my annual membership is current until the next AGMI understand that I will receive notices, updates, meeting minutes and business related to the JCC and Jarrahdale via the email I listed aboveI understand that I will be added to the JCC's mailing list and can choose to opt out at any timeI agree to abide by the JCC Constitution and By-Laws (Association rules) and JCC Code of Conduct
Payment Method

The $10.00 membership fee can be paid with cash at a General Meeting, Annual General Meeting or when attending an event or one of the weekly activities.

Direct Deposit can also be made to:

Account Name: Jarrahdale Community Collective.

BSB: 633 000

Account: 216 229 161

Ref: Surname/Membership
Should be Empty:

JCC Membership

Personal/Business Details