Membership Application

Council Name *

Address *

Landline Number *

Mobile Number *

Clerks Name *

Email Address - Clerk *

Chairperson Name *

Email Address - Chairperson *

Email Address - Accounts *

Elector Count *

Precept value *

Number of employees *

Does your council have General Power of Competence *

Is your clerk CiLCA qualified *

Privacy Policy Agreement *

• I have read and agree to the privacy Policy

Click here to view the Privacy Policy Document

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