JPS P&C Membership and Committee Nomination Form

JPS P&C Membership and Committee Nomination Form
Name*

First NameLast Name
Email*
example@example.com
Best Contact Number*
Please enter a valid phone number.
Membership*
prevnext( X )
Annual membership
$1.00AUD Quantity
Item subtotal:$0.00AUD

Total

$0.00AUD
The annual membership fee is $1.00

You will receive an invoice to your nominated email address with payment information below:

Pay by Cash or EFT (Payable to Jarrahdale Primary School P&C)
BSB: 633 000
Account Number: 127982544
Ref: Membership 20xx

Alternatively, you can make a cash payment to the school's Administration Office.
As a financial member (pending $1 payment), are you nominating for a Committee position?*

YesNo
Which position are you nominating for?*

PresidentVice PresidentSecretaryTreasurerExecutive member (2 positions available)
Which year will are you nominating for?*
Eg: 2026
Reason for nominating:
Optional
Declaration*

I confirm that I am not bankrupt nor that my affairs are under insolvency laws, and have not been convicted in the last five years of an indictable offence in relation to the formation or management of a body corporate, an offence involving fraud or dishonesty punishable by at least three months imprisonment or an offence under section 127 of the Associations Incorporation Act 2015, where a person has allowed an Association to operate while insolvent.
Signature*

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