Member Application

Club Name(Required)

(Club Name), hereby applies to become a member of Community Clubs Victoria Inc. In the event of our admission as a member, we agree to support the purposes of the Association and be bound by the Rules of the Association for the time being in force.

Name and Position of Applicant(Required)

A person authorised to apply on behalf of the club

Signature of Applicant(Required)

Entering your name will be considered as your signature

Date(Required)

Your Personal Information

Club Name(Required)

Name(Required)

First Last

Address(Required)

Postal Address

Telephone(Required)

Fax

Email(Required)

Website

ABN

ACN

Application for Membership at Community Clubs Victoria

Your Personal Information

Your Business Information

Trading Hours

Useful Links

Useful Links

Contact Info