GLENRAC Membership Application

GLENRAC Membership Application

Membership fee $0
Please complete the information below to apply for membership of GLENRAC. These applications are reviewed and endorsed by the GLENRAC Committee of Management.
Date

DayMonthYear
Date
Membership Name*
e.g. property name, business name, family name or if applying as an individual the individual name
Membership Address*

Street Address

Street Address Line 2

CityState

Postcode
Membership is on an individual basis, use this form to add the details of one member per submission. To add additional people who are part of your business, family or household, please click YES below and add their details. Under 18s are welcome to become non-voting members.
Member Name*

First NameLast Name
Email*
example@example.com
Landline Phone Number

Area CodePhone Number
Mobile Phone Number

Area CodePhone Number
GLENRAC Incorporated has copies of its Code of Conduct, Grievance Policy and Privacy policy available on our website. To review prior to joining visit: https://www.glenrac.org.au/organisational-documents

Code of Conduct

Grievance Policy

Privacy Policy
I agree to abide by GLENRAC Incorporated's Code of Conduct.*

Yes
Do you wish to add another member of your business, family or household? If yes then select ''yes'' and then submit and we'll direct you to a new form with membership name and address fields prefilled. If not, submit your application now.

Yes
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