Application Form - Groups | Australian Participatory CD Institute

Membership Application: Groups (unincorporated mutual interest groups)

Group Name

Details of nominated representative

First name

Last name

Role/Title

Phone

Secondary group email contact

Postal Address

Address line 2 (optional)

Suburb

State/Territory

Postcode

Tell us a little about your interest in participatory community development?

Confirm membership Fee

$40

Bank details:

Account Name: APCDI (Australian Participatory Community Development Institute Ltd)

Bank Name: Bank Australia

BSB: 313 140 Account Number: 125 769 38

Declaration

I am applying on behalf of the applicant group

We commit to the vision and objectives of the Australian Participatory Community Development Institute Ltd.

On approval of your membership, you will receive an email invitation from Tallystone, APCDI’s data management system. Please accept the invitation to access Tallystone and view your membership details