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Regional Membership Join Form
organisation name*:
business type*:
region you are applying to be a member in*:

mailing address

line 1/po box/private bag:
line 2:
suburb:
postcode: post code search
city:

physical address

line 1:
line 2:
suburb:
city:
country:
business phone:
business fax:
website address:
i would like to opt in to be included on the directory listing of member organisations on the sustainable business network website:
brief description of what your business does (for directory listing, limited to 50 words):

primary contact details

title*:
first name*:
last name*:
phone number:
mobile number:
email*:
i would like to opt-in for the following member benefits:
regional newsletter:
regional announcements and event bulletins:
Please tick here if you would like us to talk to you about doing the Get Sustainable Challenge
(please contact us once you are a member about adding additional contacts to your membership details, as they are also eligible to receive the newsletters.)

membership

network membership:

annual regional-based membership.

the price is dependent on your company turnover. (when working out your turnover, use your equivalent geographical/regional financial data if you can)
(** note that this is the same price as national membership)
greenfleet - tick if you are interested in information on greenfleet, the sbn's sustainable transport and tree planting programme:
(note that we will invoice your business once your membership request has been received)
how did you hear about us?
other (state how):
what is your main reason(s) for joining? (hold ctrl key to select multiple options)

please note that membership is subject to the approval by the sbn board. prospective members will be informed if approval is not given.