Applicationforindividual Membership of Australianbusinessvolunteersltd

ApplicationforIndividual Membership of AustralianBusinessVolunteersLtd

PreferredTitle
FullName
PostNominals
Address
State / Postcode
Telephone
Email

Areyoua currentorpastABVVolunteer?Yes No

If Yes,pleaseadvisethedateandcountryoflastassignmentandmoveto Obligationsasa Memberbelow.

Current(orformer)Occupation:

NameofEmployer:

DatesofEmploymentFrom

To

Responsibilities

DoyouundertakeothervolunteeractivitiesorareyouassociatedwithanyofABV’sPartners? Yes No

Ifyes,pleasestatetheagency:

_

Pleasedetailanyadditionalinformationincludinganyvolunteerexperienceforanyorganisationoranyinformation whichcouldimpactABV.

ABVseekstominimiseenvironmentalimpactbysendingcorrespondenceelectronicallywhereverpossible,including

AGMnoticesandBoardelections.

I consentto receivingmembercorrespondenceviaemail(pleasecircle): YesNo

Obligationsasa MemberofAustralianBusinessVolunteersLtd

□InaccordancewithRule2.2oftheAustralianVolunteersLimitedConstitution,I,asa memberofthe company,undertaketocontributetotheassetsoftheCompanyintheeventthattheCompanyiswoundup ordissolvedwhileI ama memberorwithintwelvemonthsfromceasingtobea member, uptoanamount notexceeding$100.00,forthepaymentofdebtsandliabilitiesoftheCompanyandpaymentofcosts, chargesandexpensesofthe windingupordissolutionandfortheadjustmentofrightsofthecontributories amongstthemselves.

□I havereadtheAustralianBusinessVolunteersConstitutionandunderstandmyobligationsasa member.

□I agreethatongoingmembershipissubjecttopaymentoftheannualmembershipfee,currently:

$25forvolunteers

$50forindividualswhoarenot volunteers

$100forbusinessmembers

□I understandthatmembershipissubjecttoannualrenewalandthataPolice/ChildProtectionCheckmaybe required.

Signed:

Date:_

FullName: