Membership Form Not an organisation? Apply for individual membership here Organisational Membership FY19-20 Use this form if you would like to sign your organisation up to be a member of WESNET. (Eligibility criteria applied and memberships have to be approved by the Board of WESNET). Name* First Last Email Enter Email Confirm Email Membership TypeMembership TypeAssociate NGOOrganisational Membership <$500,000Organisational Membership <$2MOrganisational Membership >$2MOrganisational Membership >$10MABN (if applicable)Service/Organisation Name*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Best Contact Person* First Last Position title of Best Contact Person*Phone number of best contact (please include area code)*List of Evidence you will send by emailPLEASE NOTE: New Organisational Members MUST send material to support application. Organisations should provide their Statement of Purpose OR Aims and Objectives OR Constitution. electronic copy of last Annual Report electronic of constitution electronic copy of statement You may attach a single document here now if you are ready. Otherwise, please send separately later.Membership TermsMy organisation supports the vision, purpose, and objectives of WESNET and hereby applies for membership. I agree to the Membership Terms*NameThis field is for validation purposes and should be left unchanged.