COMMITTEE FOR PORTLAND Membership Application Business/Org. Name * Member No. 1 * First Name Last Name Position * Member No. 2 First Name Last Name Position Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Website http:// Social Media Please provide URLs to your Facebook, Instagram or other Social Media Business Description As part of your membership, we can promote your business via our WiB Social Media. Please provide details of products and services (Max. 300 words) Membership Category * Memberships are valid for the Financial Year - 1 July to 30 June. An invoice will be issued as per Accounts details below. Payment to be made to: Committee for Portland BSB 325-185 Account No. 70131394 Executive Member $10700 +GST Corporate Member $3200 +GST Associate Member $550 +GST Community Member $275 +GST Accounts Contacts Person * Accounts Contact Email * Thank you for completing your Committee for Portland Membership Application. We will process your application as soon as possible and will forward a Tax Invoice for membership fees to the email address provided.If you have any queries, please email admin@committeeforportland.com.au
