Redback Test - Your Side

Organisation Membership Only

Application Type*
- New Application
- Membership Renewal
Organisational Member
Organisation Name*
Type of organisation*
- An association under the Associations Incorporation Act
- A cooperative under the Cooperative Act
- A company limited by guarantee under the Corporations Act
Do you currently supply services to or partner with Your Side Australia?*
- Yes
- No
Please list the services that your organisation provides.*
Authorised Officers Name*
First Last
Authorised Officers Email*
Nominated Organisation Representative:*
First Last
Nominated Organisation Representatives Email*
Members Agreement
MEMBERS AGREEMENT*
I hereby agree to adhere to the Constitution, Objects and rules of Northside Community Forum Ltd. I confirm that I support the objects and purpose of Northside Community Forum Ltd and that I am not an employee or office holder of an organisation member.
I Agree
Your Name
First Last
NOMINATIONS
Please provide the contact details for two eligible Your Side members who have agree to nominate you
Name
First Last
Organisation*
Email
Phone
Name
First Last
Organisation*
Email
Phone