Organisation Membership

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Organisation Membership

Please note that online payment is not currently available. If you choose the option to pay by credit card or cheque you will need to print off and send a copy of your online membership form to the VLGA office along with your payment details.

Prefix:
First Name:*
Last Name:*
Position:*
Organisation Name:*
Address:*
Address Line 2:
Address Line 3:
Suburb:*
State:*
Post Code:*
Country:
Email Address:*
Confirm Email Address:*
BH Tel:*
Mobile:
How did you learn about the VLGA?*
Briefly explain your interests in joining the VLGA:*
Vision:
Our communities will be inclusive, sustainable and dynamic characterised by strong leadership and effective local governance.
Mission:
The VLGA is a unique peak body for councillors, community leaders and local governments working to build and strengthen their capacity to work together for progressive social change.
Values:
We believe that transparent, accountable and democratic governance policies and practices in all settings enable citizens to create their own sustainable futures.
Declaration:
"The organisation supports the Vision, Mission and Values of the VLGA and agree to uphold the principles of good governance and democracy."
Please tick*
(Please note)
Applications for organisation memberships must be approved by the Executive of the organisation. Please indicate that this membership has been approved by the Executive of the organisation.
Executive Declaration:*
Payment Type: Organisation member
Select payment category based on annual turnover:*
Category A : $0 - $50,000 (Fee $80)
Category B : $50,000 - $200,000 (Fee $315)
Category C : $200,000 - $1,000,000 (Fee $630)
Category D : $1,000,000 and above (Fee $1,260)
EFT Details
Account name: VLGA Inc :: BSB: 803 140 :: Account No: 80005461
Payment Method*
Validation*

Type the code from the image

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Membership Application Form

Organisation Membership

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