Membership

Application for Membership

Please enter your details below to apply for Membership.
Items marked with an asterisk (*) must be completed.

Your contact information (must be stated):

* First name:		* Last name:
* Job title:		* Council or Company:
* Tel (work):		Tel (home):
Fax (work):		Mobile:
* Email (work):		Email (home):

Postal address

Please send general correspondence and newsletters to:

Name, Company or Council:
Address:
Suburb:
State:
Postcode:

Type of Membership *

Full:		$35 + GST = $38.50 incl GST
Retired:		$5 + GST = $5.50 incl GST
Corporate (Standard):		$80 + GST = $88.00 incl GST
Corporate (Platinum):		$200 + GST = $220.00 incl GST
Associate:		$35 + GST = $38.50 incl GST

Membership billing details

Please send the invoice to:

Same as postal address (above):
OR
Name, Company or Council:
Billing address:
Suburb:
State:
Postcode:

Work history and comments

Number of years spent in current job:
Brief work history:

Any other comments (optional):

Please send completed form and relevant fee to LGSA Treasurer, to postal address as shown below If sending form electronically, please forward relevant fee ASAP. (Please note: your application will not be processed until the fee is received. Once money is received, you will be issued with a tax invoice.)

	2009 CONFERENCE
	See the 2009 Conference photos >>>

	Conference Photos
	See the 2008 Conference photos >>>

	Sponsor/ Exhibitor Forms
	Download the 2010 Conference Sponsor and Exhibitor package details here >>>

	CONFERENCE ARCHIVE
	2007 Conference >>>

	LGSA Membership Form
	View the LGSA Membership Nomination form >>>

To communicate with LGSA, please use the following:
Tel: (08) 9277 9538, Fax: (08) 9477 6927
LGSA, PO Box 1410, Bibra Lake, WA 6965
Email: admin@lgsa.com.au