Membership Application or Renewal
Subscription year: 1 July 2025 to 30 June 2026
ALGWA Tasmanian Branch Inc: IA 08767. ABN 43 846 829 250
Name
First Name
Last Name
Council
*
If non-serving write "non serving"
Position
eg Mayor, Councillor, GM
Address
*
Street Address
Street Address Line 2
City
State
Postal
E-mail
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Confirmation Email
Mobile
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-
Area Code
Phone Number
Are you renewing your membership or joining for the first time?
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Membership Application or Renewal
Full Membership: 1 year $25
$
25.00
AUD
Quantity
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Membership Application or Renewal
Supporter members (not currently elected)
$
15.00
AUD
Quantity
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2
3
4
5
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7
8
9
10
Credit Card
Privacy Requirements:
The Executive of ALGWA Tas advises that due to the Privacy Act, we are required to have your authorisation to be able to release any information pertaining to our membership or to include your details in any publication. We would ask that you authorised ALGWA Tasmania Branch Executive to release contact details to other ALGWA members, other organisations or persons on matters pertaining to the Association's interests by signing below.
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Date
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Day
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Month
Year
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