Sign Up to the ACT Partnership
Fields marked with an asterisk (*) are <b>mandatory</b>
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Organisation Name (in full) *
Are you a not-for-profit organisation? *
Contact Name *
Enter the primary contact person or representative for this organisation.
Contact Position *
Enter the primary contact person's position within the organisation.
Website Link
Enter the website URL of the organisation (e.g. http://www.example.com)
Phone Number *
Enter your 10 digit Australian phone number including area code
Mobile Number (Optional)
Enter your 10 digit Australian mobile phone number
Email Address *
Enter a valid email address (e.g. your.name@example.com)
Postal Address *
Street Address or PO Box: City or Town: State: Postcode:
Sector - The work and purpose of your business
Please select the box(es) below which best describe the work and purpose of your business.
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13) Unclassified/Other Sector
For example, all other non-profit organisations including cooperative schemes, manufacturers, wholesalers, retailers, cemetery operators
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