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Membership Form
Organisational Membership FY20-21
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
Full Membership <$500,000
Full Membership <$2M
Full Membership >$2M
Full Membership >$10M
ABN (if applicable)
Service/Organisation Name
*
Select the most relevant option that describes your organisation
*
Whole organisation is a women's service and is led by Women and delivers services to women and their children who are, or have been victims of DFV, IPV or other forms of GBV.
We are applying for a program/department/unit in our organisation that is led by Women and delivers services to women and their children who are, or have been victims of DFV, IPV or other forms of GBV.
We are not one of the above options but we are an organisation or individual that supports WESNET's vision and purpose
DFV means domestic and family violence, IPV means intimate partner violence, GBV means gender-based violence
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.
Max. file size: 50 MB.
Membership Terms
My organisation supports the vision, purpose, and objectives of WESNET and hereby applies for membership.
I agree to the Membership Terms*
Phone
This field is for validation purposes and should be left unchanged.