Associate Organisation Membership | VLGA | Victorian Local Governance Association

Membership Options *

Associate Organisation - Upto $150,000 - $ 275.00 (includes GST of $ 25.00)

Associate - Organisations - $150,00 to $500,000 - $ 495.00 (includes GST of $ 45.00)

Associate - Organisations - $500,00 to $1M - $ 979.00 (includes GST of $ 89.00)

Associate - Organisations - Over $ 1,000,000 - $ 1,958.00 (includes GST of $ 178.00)

Total Amount

Email Address *

Organisation Details

Organisation Name *

Organisation Phone Number *

Organisation Email *

Street Address *

City/Town *

Post Code *

Country *

State *

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Username

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Account Contact Details

First Name *

Last Name *

Phone Number *

Job Title *

Payment Options

[x] Pay by Invoice

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *