Application for Associate (Individual) Membership of IRCA
I certify that I meet the eligibility requirements for Associate Membership of IRCA being an Aboriginal and Torres Strait Islander person working in the Aboriginal and Torres Strait Islander broadcasting and media sector.
In applying for membership of IRCA, I declare that I agree with the Objects of IRCA and that its representatives will abide by the membership policies set out on the IRCA website at irca.net.au/membership.
I understand that:
* For this online application to be progressed it needs to be accompanied by a signed "Signature for IRCA Membership" form (
). The signed form may be uploaded with this online form or emailed, posted or faxed separately as per the information on the form.
* This online application is subject to approval by the IRCA Board and that further information may be requested to support this application.
* That the IRCA Board holds the final decision regarding membership approval and eligibility.
I understand that the annual fee for Associate (Individual) membership is $22 inc GST, and that I will be issued with a Tax Invoice where my membership application is approved.
Please note that some fields in the following online application form are pre-filled.
Ordinary member representative
Friend of IRCA membership
Aboriginal and/or Torres Strait Islander
Name of organisation for which you work or provide media services
Please provide a description of your media work or relationship to the media industry.
Address inc street name and number, suburb, state and postcode
Mailing Address (if different to above)
Please check this box if you wish to be placed on the IRCA Newsletter mailing list.
Please upload a signed "Signature for IRCA Membership" form, or alternatively sign the form and fax to IRCA on 08 8992 9669 or email to email@example.com or post to IRCA at IRCA PO Box 2731 Alice Springs NT 0871 within a week of your online application.
Send me a copy of my responses
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