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 are below)

    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
    • Invitations to Committee for Geelong 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
    • Digital representation and banners at events
    • Logo and acknowledgement on a range of Committee for Geelong member communiques
    • Logo and acknowledgement on the Committee for Geelong Annual Report
    • Dedicated social media post per year
    • Web logo with hyperlink and 50 word profile
    • 2 x complimentary tickets to Committee for Geelong Annual Dinner & Leaders Graduation
    • 2 x complimentary tickets to Leaders for Geelong Project Presentation Lunch
    • 2 x complimentary tickets to Committee for Geelong Leadership Breakfast

    Cost of annual membership$23,250 + GST

    Community Members

    • Same benefits as Corporate members

    Cost of annual membership to 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

    The Committee for Geelong acknowledges Aboriginal and Torres Strait Islander people as Australia's First Nations people and the Traditional Custodians of the land and waterways. We pay our respects to the local Wadawurrung people of this land, their Elders past, present and emerging.