Membership Application

Membership Application Form

Council Name(Required)

Address(Required)

Landline Phone(Required)

Mobile Phone(Required)

Clerks Name(Required)

First Last

Email Address - Clerk(Required)

Chairperson Name(Required)

First Last

Email Address - Chairperson(Required)

Email Address - Accounts(Required)

Elector Count(Required)

Precept Value(Required)

Number of Employees(Required)

Does your council have General Power of Competence(Required)

Is your clerk CiLCA qualified(Required)