Gold Sponsor
2016 Conference

2013conf-sponsor-westrac-176

Bronze Sponsors
2016 Conference

2016conf-sponsor-bronze-176

2017 Conference Exhibitors

The Local Government Supervisors Association of WA Inc.

Application for Membership

Please enter your details below to apply for Membership.
Items marked with an asterisk (*) must be filled in.

First name: *

Last name: *

Job title:

Council or Company: *

Telephone (work): *

Telephone (home):

Fax (work):

Mobile:

Email Address (work): *

Email Address (home):

Postal address

Please send general correspondence and newsletters to:

Name, Council or Company: *

Street and number: *

Suburb or Town: *

State: *

Postcode:

Website address * Your company or LG website

Type of membership

Please choose a category.

Membership type * Full: $50.00 incl. GST Retired: $5.50 incl. GST Corporate: (Standard) $88.00 incl. GST Corporate: (Platinum) $220.00 incl. GST Associate: $38.50 incl. GST

Billing details

Please send the invoice to:

Billing address: * Same as Postal address (above)

OR:

Billing Name, Council or Company:

Billing Street and number:

Billing Suburb or Town:

Billing State:

Billing Postcode:

Work history and comments

Number of years in current job:

Brief work history:

Any other comments (optional): Thank you.

Security measure: What is 5 + 3? *

Gold Sponsor
2016 Conference

2013conf-sponsor-westrac-176

Bronze Sponsors
2016 Conference

2016conf-sponsor-bronze-176

2017 Conference Exhibitors