Aotearoa Membership Application Form – Charitable Reuse Australia

Company

This field is for validation purposes and should be left unchanged.

Aotearoa Membership Application

Organisation Name*

Nominated Representative*

Position*

Address*

Street Address Address Line 2 City Postcode

Email*

Phone*

Company Website

Charities Number (as per the Charities Register)

Membership Category

Please tick the membership category appropriate to your organisation.*

50+ Shops – Annual Membership $3,000 AUD

9-50 Shops – Annual Membership $2,530 AUD

2-8 Shops – Annual Membership $2,025 AUD

1 Shop – Annual Membership $250 AUD

Councils – Annual Membership $1,500 AUD

50+ Shops – Reuse organisations with 50+ shops. Includes 3 voting rights.

9-50 Shops – Reuse organisations with 50+ shops. Includes 2 voting rights.

2-8 Shops – Reuse organisations operating in the division with 2 - 8 shops. Includes 1 voting right.

1 Shop – Reuse organisations operating in the division with 1 shop.

Councils – New Zealand councils are invited to join as members commensurate with the critical role they play in the sector.

Declaration of Eligibility

Membership of Charitable Reuse Aotearoa is only available to eligible charitable reuse organisations. Please tick each statement below on behalf of the organisation.

Authorised Signature

By filling out the fields below you are signing on behalf of the organisation.

Name (First and Last)*

Title*

Organisation*

Dated*

Charitable Reuse Aotearoa Membership Application Form