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
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Postal address
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Postcode
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Street address (if different to postal)
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Postcode
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Primary contact
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Position
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BH Phone (general)
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BH Phone (direct)
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Mobile
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Fax
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AH Phone
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Email
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Website
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ABN (if applicable)
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CORE BUSINESS
Please select up to three options below that best describe your organisation's core business:
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
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Position
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Postal address
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Postcode
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BH Phone (general)
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BH Phone (direct)
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Mobile
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Fax
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AH Phone
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Email
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2. Name
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Position
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Postal address
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Postcode
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BH Phone (general)
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BH Phone (direct)
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Mobile
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Fax
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AH Phone
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Email
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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)
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TABLE OF FEES 2012 (inclusive of GST)
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OFFICE USE ONLY
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Receipt no.
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Date:
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Card
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File
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D/B
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Approved / /
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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:
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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