Become a Member – Corporate Membership Application Form

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Join the NAWO Network – Corporate Membership Application Form

This application will require you to have your ABN and purchase order information and will take you no longer than 20 minutes.

Organisation Details

Organisation Number

ABN

Organisation Name

Select your organisation name, if it not listed select ‘other’ and enter org name in field below.

Other

Billing Name (Australian Business Register)

No. of Employees (Australian operations)

Entity

Business Type

Product / Service Description

States / Territories in which the organisation operates

Hold control or shift to select multiple options.

Regional locations

Subsidiary companies to be covered by this membership

New Zealand Operation
YesNo

Industry Sector

Note: Please choose the sector you report to for WGEA purposes (if you are not required to report to WGEA then select the most apporpriate to your operation)

Membership Information

Membership $9,990+GST annually

Purchase Order Number (if required)

Contact Details

Each NAWO member must nominate a Primary Contact and Executive Sponsor

Primary Contact Name

Note: The Primary Contact is NAWO's day to day point of contact for the membership and will be the person we liaise with regarding the initial membership onboaring process and ongoing employee engagement

Email Address

Phone number

Mobile

Executive Sponsor Name

Note: The Executive Sponsor takes responsibility for the sposorship and executive support for the membership internally. They will receive monthly news from NAWO and be the contact point for executive forum invitations and opportunities.

Email Address

Phone number

Mobile

Address Information

Billing Street 1

Billing Street 2

Billing Suburb

Postcode

Billing State

Country

Your Name

Position

Date

On behalf of the joining organisation I accept the Membership Terms and Conditions of Service.
YesNo

Submit