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South Australian Council of Social Service: Application for Membership Organisation

Keep a COPY of this document as it will be a Tax Invoice for gst when you make payment. Page of



SACOSS ABN: 93 197 662 296

ORGANISATION CONTACT DETAILS


Organisation      

Postal address      

     

Postcode      

Street address (if different to postal)      

     

Postcode      

Primary contact      

Position      

BH Phone (general)      

BH Phone (direct)      

Mobile      

Fax      

AH Phone      

Email      

Website      

ABN (if applicable)      



CORE BUSINESS
Please select up to three options below that best describe your organisation's core business:

Aged

Men

Criminal, justice, legal

Mental health

Disability services

Migrant services

Emergency relief

Multicultural

Employment services

Peak body

Family and children's services

Policy and advocacy

Financial support

Training and education

Health

Volunteers

Housing

Women

Indigenous

Youth

REPRESENTATIVES

Organisational members receive two votes at the SACOSS Annual General Meeting, General Meetings, and elections. Please nominate two representatives to vote on behalf of your organisation (one may be the Primary contact listed at left):




1. Name      

Position      

Postal address      

     

Postcode      

BH Phone (general)      

BH Phone (direct)      

Mobile      

Fax      

AH Phone      

Email      




2. Name      

Position      

Postal address      

     

Postcode      

BH Phone (general)      

BH Phone (direct)      

Mobile      

Fax      

AH Phone      

Email      



Please enclose a copy of your constitution and/or a pamphlet of your services with this application.


>>more overleaf
Organisational membership of SACOSS is subject to approval by the SACOSS Board, which meets monthly.
Please do not provide any payment until you have been notified by SACOSS of your membership being approved.

Fees apply for one year of membership from the joining date and are based on your organisation’s annual turnover.





* PLEASE MARK YOUR MEMBERSHIP CATEGORY
but please do
not send payment (see above)





TABLE OF FEES 2012 (inclusive of GST)




Your annual turnover

Dues

Your annual turnover

Dues

Less than $25k

$45

$500k-$1m

$385

$25-$100k

$100

$1-2.5m

$600

$100-250k

$190

$2.5m-$5m

$830

$250-500k

$295

Over $5m

$1,250



















OFFICE USE ONLY





Receipt no.


Date:

Card


File


D/B


Approved / /





Vision

Justice, Opportunity and Shared Wealth for all South Australians

Providing a strong and independent voice for fair and just public policy.

A representative organisation that advocates for the progressive improvement of the quality of life for those most vulnerable in our community.

Values

Accountability, Collaboration, Courage, Diversity, Dignity, Inclusion, Respect, Sustainability
Purpose

To harness the views of the community to achieve…

  • progressive improvement of the quality of life for those most in need

  • a healthy, clean and safe environment

  • equal access to social, political, economic, spiritual and cultural opportunities and benefits

  • a vibrant and dynamic community sector

  • a strong and representative membership base


On behalf of my organisation, as a member of SACOSS I agree to abide by its vision, values and purpose:


Name      

Signature

Date      



Send your completed membership form to:

SACOSS membership

Marjorie Black House

47 King William Rd



UNLEY SA 5061
or fax 08 8272 9500
Membership Enquiries:

Tel. 08 8305 4222 > dial 0

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