Application for Associate (Organisational) Membership of IRCA

I certify that the organisation for which I am making application meets the eligibility requirements for Associate (Organisational) Membership of IRCA being an Aboriginal and Torres Strait Islander not-for-profit organisation that produces media outside of 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 the relevant representatives, including the Associate Membership Representative, will abide by the membership policies set out on the IRCA website at www.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 (http://irca.net.au/sites/default/files/Membership_Application_Signature_Form.docx). 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 (Organisational) membership is $165 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.














Street name and number, suburb/city/community, State/Territory, postcode


If the same as the Street Address please note "Same as street address"














The person is to be an Aboriginal and Torres Strait Islander person aged 18 years and over and otherwise eligible for Associate Membership of IRCA. This person is the primary person engaging in IRCA General Meetings, and may the same person as the primary contact. If so please note "same as primary contact person".




Please note "same as organisation" where relevant







Please provide brief information about the activity of your organisation


Please upload your signed Signature for IRCA Membership form if possible. Otherwise please fax to IRCA on 08 8992 9669 or email to membership@irca.net.au or post to IRCA PO Box 2731 Alice Springs NT 0871, within a week of your application.






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