Organisation Membership Application

Complete this form and click “submit” below, or post a hard copy to North West FM, 100 Middle Street, Hadfield 3046.

Name of Organisation: *

Contact Name: *

Position in the Organisation: *

Address of Organisation *

Email *

Phone: *

If there is anything you would like to let us know about your application, please write it below

Membership Agreement *

In submitting this electronic application for membership to North West Community Radio Association Inc, the Contact Person named above states that they are authorised by the organisation named above to complete and submit this application form on behalf of the organisation.
The organisation listed above hereby agrees to adhere to the rules for membership application as set out in the Rules of Association and further:

(a) wishes to become a member of the Association; and
(b) supports the purposes of the Association; and
(c) agrees to comply with the rules of Association.

All membership applications must be approved by the committee of management prior to the commencement of membership.
The committee will contact you regarding payment information once your membership application has been approved.