Membership Application Form

Membership Application Form
Name of your organisation*
Physical Address of Organisation*

Street Address

Street Address Line 2

Town/CityState / Province

Postcode
Postal Address (if different from above)

Street Address

Street Address Line 2

Town/CityState / Province

Postcode
Website (if applicable)
Key Contact Person*

First NameLast Name
Phone Number*
Email*
example@example.com
How long has your organisation been operating?*
What is your organisation structure? (e.g. Charitable Trust, Incorporated Society)*
What is the main purpose of your organisation?*
What are your organisation's key areas of interest regarding heritage (e.g. education, arts, preservation, oral history, heritage celebration)*
What projects is your organisation currently working on that have a heritage element or focus?*
Are there any specific areas or issues your organisation would like assistance with?*
That's it! We looking forward to working with you on your heritage endeavours.
Please submit this form by clicking on the button below
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