Warrnambool Nepalese Community Inc.

Warrnambool Nepalese Community Inc.

Incorporated Association Membership Application Form
Name:

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Email:
Membership Type:
Ordinary Member: A voting member of an association who has full membership rights and responsibilities.
Associate Member: A non-voting member who participates in activities but has limited rights compared to ordinary members.
Emergency Contact:

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Declaration:

I hereby apply to become a member of Warrnambool Nepalese Community Inc. If approved as a member, I agree to be bound by the rules of the association and follow model rules for an incorporated association.

The annual membership fee is $20. Payment details will be provided after your application is approved and need to renew your membership annually at the start of each financial year.
Signature:
Date:

MonthDayYear
Date
Note:

“The committee will provide you the outcome of your application (approval or refusal), via email.”
Should be Empty: