Membership Application

1. Application for Membership of Association: Business Orange
I/We (full name/s)*
Owner of (business name)*
Of (trading address)*

hereby apply for this business to become a member of the Business NSW. In the event of my admission as a member, I agree to be bound by the rules of the association for the time being in force.
Signature*
Date*

Day
Month
Year

3. Business NSW Membership Declaration
As a member of the Business Orange you are entitled to a FREE Local Chamber Membership package with Business NSW, which includes access to a range of additional business tools and resources. For full membership benefits see www.businessnsw.com/Members/why-join.
Opt in*
I, the above named and being a financial member of Business Orange, hereby agree to become a member of Business NSW (within the Local Chamber membership class) and be bound by the Business NSW Constitution, the Business NSW Membership Terms and Conditions, and the Business NSW Privacy Privacy Policy.

*Please Note: If you are already a member of Business NSW in a membership class other than the Local Chamber membership class and would like to move to the Local Chamber membership class, then you must first resign your existing membership.

4. MEMBER DETAILS: (Please print clearly)
Trading Name:*
First
ABN (If applicable):
Contact Name/s:*
Phone (Landline):
Mobile:*
Email:*
Website
Social Media
Please list the names and email addresses of all other people in your business you would like to receive Business Orange communication:
If we were to introduce you to fellow Business Orange members and to welcome you in our social media, what would you like us to say about your business?*
I wish to receive Business Orange e-bulletins and notifications:
- Yes
- No
I wish to be listed on Business Orange’s online local business directory:
- Yes
- No

5. MEMBERSHIP FEES
1 Year Membership
Price:
A Fee of $198 is paid annually to Business Orange on the anniversary of membership commencement.
Total
$ 0.00
Credit Card

Card Details

Cardholder Name

1. Application for Membership of Association: Business Orange