WHS Foundation Membership Individual Application

1

Membership Type Price includes GST.

Individual $100

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Member Details* This field is required. Please provide your details.

First Name

Last Name

Company

Address

Suburb

Postcode

Email

Phone

3

Declaration* This field is required. I understand that the WHS Foundation Membership is conditional upon acceptance by WHS Foundation's Board of Directors. I request that this application be submitted to the WHS Foundation Board of Directors for approval. I understand that WHS Foundation will provide membership benefits upon receipt of the application and payment. I understand that as a WHS Foundation member, I am entitled to voting rights at the Annual General Meeting.

First Name

Last Name

4

Signature* This field is required.

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