Membership Application Form

I,
Position Title:
of

Wish to make application to become a member of the Committee for Geelong

Physical Address:
Mailing Address:
Suburb:
Post Code:
Suburb:
Post Code:
Tel/Mobile:
Email:
Accounts telephone:
Accounts Email:
Accounts contact:
Social media handle:

Type of membership requested (details of membership structure on following page)

Corporate Plus Member - Annual subscription $ 23,250 + GST
Corporate Member - Annual subscription $ 3,550 + GST
Community Member - Annual 'Expression of Interest' Application $ POA
Organisation brief (i.e. about your organisation)
Signature of Applicant (Max size 1mb):
Date:

Representative nominated as subsidiary member on behalf of the organisation (if required)

Name:
Phone:
Position:
Mobile:

MEMBERSHIP STRUCTURE

There are three levels of membership:

Corporate Members

  • Eligibility for election to the Strategy and Policy Committee
  • Eligibility for election to the Board of the Committee for Geelong
  • Initiations to exclusive ‘Board Room’ briefings
  • Invitations to CfG Member Only events
  • Subscription to exclusive e-updates and newsletters

Cost of annual membership$3,550 + GST

Corporate Plus Members

Our Corporate ‘Plus’ Members enjoy all of the above benefits plus:

  • Automatic appointment to the Strategy and Policy Committee
  • Invitations to exclusive Corporate ‘Plus’ member events
  • Priority access to high-level opportunities
  • Verbal acknowledgement at every Committee for Geelong event
  • Logo and acknowledgement on a range of Committee for Geelong member communiques
  • Logo and acknowledgement on the Committee for Geelong Annual Report

Cost of annual membership$23,550 + GST

Community Members

  • Same benefits as Corporate members

Cost of annual membershipTo be discussed on application

Committee For Geelong

Level 1 Sally Walker Building,
1 Gheringhap Street,
Geelong, Victoria, 3250

+61 3 5227 8075

9:00am – 5:00pm
Monday to Friday

We acknowledge the land for which the Wadawurrung people are the traditional owners and custodians. We remember their ancestors with respect and commit ourselves to work for reconciliation and justice for Aboriginal and Torres Strait Islanders.