Become a Member < Member Login | WynBay LLEN | Wyndham and Hobsons Bay Local Learning and Employment Network

Applicant Details

Full Name of Applicant/Organisation*

All members are classified organisations, unless joining as a community member, only then do you fill in your own name (see the categories below). All other applicants must fill in the name of the organisation.

Unit & Street Number

Street Address

City

Postcode

desires to become a member of Wyndham and Hobsons Bay LLEN Incorporated.

Class of Member

Please tick the appropriate box for the class of Member to which you belong:

Community Member

Organisational Member

Privacy Statement

Please note that, as required, your membership details may be provided to other members or member organisations. If you do not wish your details to be distributed, please notify the WynBay LLEN in writing (gabrijela@wynbayllen.org.au).

Membership Category for Organisational Members

If an Organisational Member, please cross the appropriate Membership Category box (An Organisational Member may belong only to one Membership Category):

Acceptance

If admitted as a member, I/We agree to be bound by the Rules of the Association for the time being in force.

Name of Representative*

Position

Position Held (if an Organisation)

Email*

Phone

Mobile

Fax

Date

Please leave this field empty

Become a Member

Membership Form

Applicant Details

Class of Member

Privacy Statement

Membership Category for Organisational Members

Acceptance