Junior Membership Application

NOT entitled to vote. For schools and other organisations that consist of youth under 18 years of age. The representative acts as the contact person on behalf of their group.

 

Please complete the form below.

Are you an .. Please select one (required)

Name of Nominating School / Organisation (required)

Name Of Representative (required)

Name of Authorised Officer (required)

Position of Authorised Officer (required)

Residential Address (required)

Postal Address if different from above

Phone Number (required)

Your Email (required)

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