» Membership FormRangelands WA NRM

Membership Form

Member form for Rangelands NRM

Eligibility for Membership
There is no fee charged for being a Member. Our Membership represent organisations that have a genuine interest in natural resource management. Eligibility criteria:
1. Incorporated associations (not-for-profit organisations) that have an active interest in natural resource management as identifiable in their Constitution’s objectives;
2. Educational institutes and research bodies that have an active interest in natural resource management;
3. Australian, State and local governments and their agencies that have primary responsibility for natural resource management and sustainable use of natural resources, by way of statutory responsibility, function or regulatory capacity;
4. Other legal entities (i.e. businesses) that have an interest in, and responsibility for, sustainable use of natural resources; and
5. Community groups in Western Australia having more than fifteen (15) members that have an interest and participate in natural resource management.
6. The organisation must not be insolvent or deregistered.
7. A new member cannot be an existing Director, Chairman, Employee or Shareholder of an existing membership of Rangelands NRM.
Name:*
ABN / ACN*
Physical Address:*
Suburb*
Postcode*
Postal Address:*
Postal Suburb*
Postal Postcode*
Membership Category:*
(Please select one)
- Individual
- Incorporated Association
- Community Group
- Educational Institute / Research
- Private Business
Overview of Objectives:*
To confirm the organisation’s interest in natural resource management, please provide an overview of the organisation’s objectives:
Member Representative
To ensure Rangelands NRM communicates with the right person, the organisation is requested to nominate a Membership Representative (e.g. CEO, General Manager, Chairperson or Senior Manager), who will be the liaison for all key communications. They will be entitled to vote on formal Rangelands NRM WA matters on behalf of their organisation. All communications will be directed to this representative.
Name*
First Last
Position*
Work Phone
Mobile*
Email*
Signature of Member Representative
Membership is bound by the Constitution (Rules of Association).
View a copy of our Constitution (updated July 2017).
*
- I accept the terms and conditions
Date of Application*
DD dash MM dash YYYY
Member Register
The Board of Management needs to approve all new Members and will confirm your Membership once this process has been completed. Should more information be required for this application, you will be contacted.
Signature of Chief Executive Officer (or delegate):
Date Approved by the Board
DD dash MM dash YYYY
Signature of Chairperson:
Date applicant notified:
DD dash MM dash YYYY
Date added to register:
DD dash MM dash YYYY

Membership Form

Membership Form

Eligibility for Membership

Member Representative

Member Register