HBN Membership Form

Membership Application Form

Hills Business Network is a business network like no other that is designed to inspire, educate, encourage and help promote business through members and referrals. If you would like more information on becoming a member or the application process, please email apply@hillsbusinessnetwork.com.au
Name*

First NameLast Name
Company/Business Name*
ABN Number*
Your Phone Number*
E-mail*
example@example.com.au
Website*
www.example.com.au
Your Address*

Street Address or PO Box

Street Address Line 2

SuburbState

Postcode
Who Referred You?*
ie: Other Members Name, Google etc
Which Industry is Your Business Involved with*
We don't restrict the number of business's in each category
If your business type is not listed above, type detail here
NOTE: Membership plan includes catering/breakfast
Invoiced Monthly in Advance. First Invoice will be issued upon acceptance of your membership*

Monthly Membership $100.00 ex gst
Rules of Engagement - Click to review
Privacy Policy - Click to review
Rules of Engagement *

I have read and accepted the Rules of Engagement for becoming a member of Hills Business Network.
Privacy Policy*

I have read and accepted the Hills Business Network Privacy Policy & agree to receive email correspondence.
Date of Signature*

DayMonthYear
Date
Signature*

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Membership Application Form