New Member Partnership Application Form

Membership Approval(*)

I agreePlease check the agree checkbox to submit this form.

I understand that my membership application will go through an approval process. This process can take up to two weeks. For more information please contact Terri by email or phone 07 4167 0654.

Please fill in as many fields as you can, to enable a faster commencement of your membership after approval.

For more information about Bundaberg Tourism and to download a copy of our constitution please click here.

Business Name(*)

Please let us know your name.

Postal Address & Suburb(*)

Please let us know your email address.

Postcode

Invalid Input

Phone(*)

Please enter your phone number with no spaces.

Email(*)

Invalid Input

ABN Number

Invalid Input

Your Online Presence

Website

Invalid Input

Facebook

Invalid Input

Instagram

Invalid Input

YouTube

Invalid Input

Best Contacts

Key Contact Person

Invalid Input

Key Contact Phone

Invalid Input

Key Contact Email

Invalid Input

Accounts Contact

Invalid Input

Accounts Phone

Invalid Input

Accounts Email

Invalid Input

Marketing Contact

Invalid Input

Marketing Contact Phone

Invalid Input

Marketing Contact Email

Invalid Input

Upload Your Public Liability Insurance

Public Liability Insurance

Invalid Input

Membership Agreement

I/we apply to become a member and agree to be bound by the Constitution and any rules or by-laws. I/we hereby confirm that I/we have all necessary approvals and permits to operate our business as well as appropriate Public Liability Insurance cover and will ensure such cover remains in place during the term of this partnership.

Applicant’s Full Name

Invalid Input

Date

Invalid Input

We want to know what a successful partnership with Bundaberg Tourism represents to you and your business

Invalid Input

Phone	1300 722 099
Email	info@bundabergregion.org
Address	36 Avenue St, Bundaberg East, QLD 4670
Hours	Mon to Sun: 9am to 5pm