Computer Application Form

Computer Application Form

Organisation Application
Organisation Name*
ABN*
Australian Business Number
How many computers do you require?
Desktop Computers
Windows 10 Pro (64 bit). 22 inch Monitor. Microsoft Office 2019. Price from $120. Price depends on computer specs.
Laptop Computers
Windows 10 Pro (64 bit). Microsoft Office 2019. Price from $130. Price depends on laptop specs. Limited stock, likely delay for order.
Name*

First NameLast Name
Position at Organisation
Phone Number*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your organisation a Registered Company?*

YesNo
If Yes, please upload the following documents
Copy of Registration Certificate

Cancelof
If No, please upload the following from your Constitution
The item in the Constitution defining the goal of your organisation (one page)

Cancelof
The item in the Constitution indicating the organisation is Not-for-profit, that is,not for the financial benefit of the members (one page)

Cancelof
The item in the Constitution determining the disposal of assets if the organisationis dissolved (one page)

Cancelof
If you are unsure about what document copies to send, please consult staff at Wanneroo Community Men's Shed on 0499 243 171
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty: