Application for Affiliate (Individual) Membership of IRCA
I certify that I have read the IRCA Membership eligibility guidelines and that I meet the eligibility requirements for Affiliate Membership of IRCA being a non-Indigenous 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 I will abide by the membership policies set out on the IRCA website at
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 the Affiliate (Individual) membership class is $22 inc GST and that I will be issued with a Tax Invoice where my application is approved.
Please note that some fields in the following online application form are pre-filled.
Ordinary member representative
Friend of IRCA membership
Name of organisation for whom you work
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 your signed "Signature for IRCA Membership" form, or alternatively sign the form and fax to IRCA on 08 8992 9669 or email to firstname.lastname@example.org or mail to IRCA PO Box 2731 Alice Springs NT 871 within a week of your online application.
Send me a copy of my responses
Your submission is being processed. Please do not close this browser window until complete.