EstWest Membership Application Form Free

EstWest Membership Application Form
Name*

First NameLast Name
Suburb of residence:*
Date of birth

MonthDayYear
Date
Email*
example@example.com
Membership Type:*

Individual MembershipCorporate Membership
Please indicate the benefits you are interested in:

Access to exclusive eventsNetworking opportunitiesSocialising opportunitiesDiscounts on products or servicesSubscription to newsletters or publicationsVolunteer opportunitiesOther
Additional Information:
How did you hear about us?
Why are you interested in joining our association?
Do you have any special skills or interests you would like to contribute as a member?
Any other comments or questions?
Declaration:

I certify that all information provided in this application is true and accurate to the best of my knowledge. I understand that membership approval is at the discretion of the association and may be subject to review.

I hereby apply for membership of the Association and declare that I support the objects or purposes of the Association.
This application must be supported by an existing member of the association. Please attach filled out member nomination form. *

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Signature*

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Date*

MonthDayYear
Date
Please verify that you are human*
The Australian Privacy Principles allow for an organisation to disclose personal information when required or authorised under law. The Associations Incorporation Act 2015 is the law that enables a member to access the members’ register. A member who requests a copy of the register needs to complete a statutory declaration before the copy is provided. The statutory declaration must state the purpose for which the information is required and confirm that the purpose is related to the affairs of the association.
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EstWest Membership Application Form

Additional Information: