Collective of Self Help Groups Inc. (COSHG) Membership ABN: 45 409 620 181

Includes COSHG newsletter ‘Collective Notes’. Discounts on workshops may apply.

Memberships are based on the financial year. There is no GST payable.

Post this form with your cheque/money order to COSHG, Level 3, Room 6, Ross House, 247 Flinders Lane, Melbourne, 3000.

I agree with COSHG aims orOur group has discussed and agreed with COSHG aims

There are two kinds of membership. Please tick the membership you are applying for.

Full membership for self help groups or individuals actively supporting COSHG.

(Groups should appoint one person as their nominated representative)

Enclosed is
$15 (for self help groups or individuals)
$5 concession

Please note that self help groups and individuals can choose the associate membership option.

If you are applying for full membership, please indicate your interests:

attend AGM and/or other meetings
visit or help at COSHG office
attend or help with workshops, events or info stalls
respond to issues or questions raised in news sheets
send to COSHG information that could be useful to other groups
other .............................................................................................

Associate membership (non-voting) for people or organisations that support

the aims and objectives of COSHG.

Enclosed is

$15 (for self help groups or individuals)
$5 concession

$25 for small organisations that actively support self help groups
$50 for large organisations and service providers

Do you agree to have your group/organisation included in the membership listing on

the COSHG website? yes no

Applications for membership are subject to review by the Management Collective.

Name of group/ person and address:

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Phone: .................................................. E-mail: ................................

Please send Collective Notes by email mail

Signature: ............................................. Date: .....................................

Last updated 11 May 2011