Membership Application or Renewal

ALGWA Tasmanian Branch

IA 08767 ABN 43 846 829 250
Membership Application or Renewal

Membership runs from 1st July to 30th June each year
Full Name

First NameLast Name
Address

Street Address Line 1

Street Address Line 2
Town/CityStatePostcode
Council
If not an Elected Representative or Council Employee, please select your municipality.
Position
Mobile Number
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Email
Please use a personal email address where possible, so we can stay in touch if your Council role changes.

Current Elected Representative

$25.00 AUD for each year

Former Elected Rep

$15.00 AUD for each year

Supporter

$15.00 AUD for each year

ALGWA Tasmanian Branch