Partner Application

Organisation Name*

Nominated Representative*

Position*

Address*

Street Address Address Line 2 City State Postcode

Email*

Phone*

Company Website

Partner Category

Corporate Partner

Retail Services
Resource Management
eCommerce & Technology
Member Services

Social Enterprise Partner

Reuse, Repair or Recycling Services
Nonprofits and Associations

Please tick applicable category*

Corporate Partner - $950 pa plus GST

Social Enterprise Partner - $620 pa plus GST

Introduction from Member

Please attach a letter of recommendation or endorsement from a Charitable Reuse Australia member:

Member Name*

Contact Person*

Position*

Attach Letter

Accepted file types: jpg, pdf, doc, docx, Max. file size: 128 MB.

Organisational Services

Statement*

Please kindly provide a statement on your organisation’s services and involvement with the charitable and social enterprise reuse, repair or recycling sector

Declaration of Eligibility

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

Consent*

I declare that the Organisation mentioned on this form meets with the eligibility criteria listed.*

Authorised Signature

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

Name (First and Last)*

Title*

Organisation*

Dated*

Name

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

Corporate & Social Enterprise Partner Application Form