Membership Application


Apply for Membership

Thank you for your interest in becoming a member, we can’t wait to get to know you more! 

Please fill out the below application form and we’ll be in touch soon. 

If you have any questions, get in touch with us on 8371 4622 or info@communitycentressa.asn.au 

    Membership Type you wish to apply under: (required)

    Primary Contact For Organisation

    First Name: (required)

    Last Name: (required)

    Email: (required)

    Mobile No: (required)

    Organisation Details

    Name of Organisation: (required)

    Phone No.: (required)

    Website Address: (required)

    ABN No.: (required)

    Street Address: (required)

    Suburb: (required)

    State: (required)

    Post Code: (required)

    Email Address: (required)

    Postal Address (if different to Street Address): (required)

    Indicate which annual turnover bracket best applies to your organisation: (required)

    Tell us about your organisation (a Yes / No or short sentence is fine)

    How many people participate in your centre each week (approximately)?:

    Are all members of community welcome?:

    Does the community participate in decision making?:

    How does your organisation’s values align with Community Centres SA?:

    How do you promote and value diversity?:

    How do you coordinate community assets/resources?:

    How are community needs Identified?:

    Please add me to the Community Centres SA Mailing List

    Thank you for completing your Membership application and details.