Application for Ordinary Membership of IRCA
I certify that the organisation for which I am making application meets the eligibility requirements for Ordinary Membership of IRCA being an Aboriginal and Torres Strait Islander not-for-profit broadcasting and/or media production organisation that produces media as the core constitutional objectives of the organisation.
In applying for membership of IRCA, I declare that I agree with the Objects of IRCA and that I and relevant representatives 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.
* The annual fee for Ordinary membership is $275 inc GST, and that I will be issued with a Tax Invoice where this membership application is approved.
Some fields below are prefilled. Please do not modify.
Ordinary member representative
Friend of IRCA membership
Legal Status of Organisation
Company limited by guarantee (ASIC registered)
Propriety Limited Company Limited by Shares (ASIC Registered)
Association or cooperative registered under State or Territory legislation
Business or other for-profit organisation
Street name and number, suburb/city/community, State/Territory, postcode
If the same as the Street Address please note "Same as street address"
First name of primary contact person for organisation
Last name of primary contact person for organisation
Position title of primary contact person
Email address of primary contact person
Phone number of primary contact person
Mobile phone number of primary contact person
Please provide brief information about the activity of your organisation
Check if you wish to be placed on the mailing list for the IRCA Newsletter
NOMINATED REPRESENTATIVE DETAILS
Each Ordinary Member is to nominate a person to represent and exercise the voting rights of their organisation at IRCA General Meetings. The nominated person is to be an Aboriginal and Torres Strait Islander person aged 18 years or over, currently active in the Aboriginal and Torres Strait Islander broadcasting and media industry.
Nominated Representative name
Position held by nominated Representative
Nominated Representative mailing address
If the same as the organisation address please note "Same as above"
Nominated Representative email address
Nominated Representative primary phone number (landline or mobile)
Nominated Representative secondary phone number (landline or mobile)
Please upload your signed Signature for IRCA Membership form if possible. Otherwise please fax to IRCA on 08 8992 9669 or email to email@example.com or post to IRCA PO Box 2731 Alice Springs NT 0871, within a week of your application.
Send me a copy of my responses
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