IRCA Membership Application
I certify that the nominated organisation/I meet the eligibility requirements relevant to the membership category indicated above. I understand that this application is subject to approval by the IRCA Board and that further information may be requested to support this application. For organisations, the further information may include a Constitution/Rule Book and/or Strategic Plan and/or Annual Report. I understand that the IRCA Board holds the final decision regarding membership approval and eligibility.
In applying for membership of IRCA, I declare that the applicant agrees 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
Application: Organisation or Individual
Organisation Name (if applicable)
First Name (Organisation Contact or Individual)
Last Name (Organisation Contact or Individual)
Ordinary member representative
Friend of IRCA membership
Aboriginal and/or Torres Strait Islander
ABN (for organisational membership applications)
Legal Status of Organisation (if applicable)
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
Voting Representative Name (For Ordinary membership only)
The Voting Representative is to be an Aboriginal/Torres Strait Islander person aged 18 and above who would be eligible for Associate Membership (that is actively working in the media industry)
Address inc street name and number, suburb, state and postcode
Mailing Address (if different to above)
Please provide a description of your media work or relationship to the media industry.
Send me a copy of my responses
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