2022/23 Life Membership Voting Rights Application

2022/23 Life Membership Voting Rights Application

To obtain voting rights for the 2022/23 financial year, this form must be completed and approved according the the CBA constitution.
Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Type of Membership

New Member Renewal
CBA Constitution - Verified October 2020.
There is no membership fee for verification of Life Member voting rights.

Approval of voting rights (when verified by the Board of Directors) is valid until 30 June 2023.
Life Member Voting Rights Applicant's Signature

Clear
Should be Empty: