Membership Form

Thanks for joining WESNET

Membership Form

Organisational Membership FY19-20

Use this form if you would like to sign your organisation up to be a member of WESNET. (Eligibility criteria applied and memberships have to be approved by the Board of WESNET).

Name*
First Last
Email
Enter Email Confirm Email
Membership Type
Membership Type
- Associate NGO
- Organisational Membership <$500,000
- Organisational Membership <$2M
- Organisational Membership >$2M
- Organisational Membership >$10M
ABN (if applicable)
Service/Organisation Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Best Contact Person*
First Last
Position title of Best Contact Person*
Phone number of best contact (please include area code)*
List of Evidence you will send by email
PLEASE NOTE: New Organisational Members MUST send material to support application. Organisations should provide their Statement of Purpose OR Aims and Objectives OR Constitution.
- electronic copy of last Annual Report
- electronic of constitution
- electronic copy of statement
You may attach a single document here now if you are ready. Otherwise, please send separately later.
Membership Terms
My organisation supports the vision, purpose, and objectives of WESNET and hereby applies for membership.
I agree to the Membership Terms*
Name
This field is for validation purposes and should be left unchanged.

Membership Form

Organisational Membership FY19-20

Membership Type