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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.)

 
 
 
2012 CONFERENCE
For information about the 2012 Conference, see this page, or email us.
2011 CONFERENCE
See the 2011 Conference Photos >>>
2010 CONFERENCE
See the 2010 Conference Photos >>>  
2009 CONFERENCE
See the 2009 Conference photos >>>
CONFERENCE ARCHIVES
2007 Conference >>>
2008 Conference >>>
LGSA Membership Form
View the LGSA Membership Nomination form >>>
 
 


To communicate with LGSA, please use the following:
Tel: (08) 6250 0558
LGSA, PO Box 1410, Bibra Lake, WA 6965
Email: admin@lgsa.com.au

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