Member Application

Name

Address

City

State

Postcode

Telephone

Email Address

Conditions & Terms

I apply to become a Member of the above named Incorporated Association. On the event of my admission as a Member, I agree to be bound by the Constitution of the Association as may be amended from time to time.I confirm that I meet the following eligibility criteria (tick at least one as applicable):

Voting Member

If you are a Non-Voting Member, please select one of these options below.

I OWN PROPERTY IN THE MOLONGLO VALLEY DISTRICT
I CONDUCT A BUSINESS IN THE MOLONGLO VALLEY DISTRICT
I WORK IN THE MOLONGLO VALLEY DISTRICT OR AM EMPLOYED BY A BUSINESS BASED IN THE MOLONGLO VALLEY DISTRICT
I FORMERLY LIVED, WORKED OR CONDUCTED BUSINESS IN THE MOLONGLO VALLEY DISTRICT
I HAVE AN INTEREST IN THE AFFAIRS OF THE MOLONGLO VALLEY DISTRICT

Non-Voting Member

Name of applicant

Date

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Application for Membership of Association Molonglo Valley Community Council

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Application for Membership of Association

Molonglo Valley Community Council