Bundaberg Region - New Member Partnership Application Form
24°C Mostly Sunny Mostly Sunny

New Member Partnership Application Form

New Member Partnership Application Form

Membership Approval(*)
Please 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

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