Request edit access
Community Membership Application Form
Thank you for your interest in joining our Community Membership:
In addition to supporting the work we do; our annual membership offers access to a variety of benefits including:
• Attendance and voting rights at the Annual General Meeting
• Special Members Meeting
• Opportunity to join the Advisory Committee or Board of Directors
• Opportunity to advertise on our website and in publications
• Project collaboration
• Networking opportunities
To continue the membership process we require a few bits of information about yourself, please answer all questions below honestly and with integrity.
The Membership Committee will be in touch with you within 21 day's, to confirm your membership and payment of the fee.
If you have any questions, please do not hesitate to contact our Secretary via email:
Which position(s) are you interested in?
Community Membership @ $25
Community Partner @ $100
Corporate Partner @ $250
Donation of your choice
Address/Suburb and State you reside in?
Date of Birth? so we can send you a warm Birthday Greetings.
First and last legal name
What is your interest in supporting our organisation?
A copy of your responses will be emailed to the address you provided.
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of DCSS | NFPCCC | KKICS | LEOs |.