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Membership Application
Membership Application
Applicant's full legal name
Company/Superfund Name (If applicable)
ABN
First name
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Last name
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Choose a password
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Mailing address
Address line 1
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Address line 2
Suburb
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State
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Postcode
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Country
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Email Address
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Phone
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Phone (alternate)
Application and Acknowledgements
I hereby apply for Membership of the Co-operative and acknowledge and warrant that:
If accepted as a member of the Co-operative I will be bound by contract to the Co-operative’s Rules.
I had the right to request to either inspect at the Co-operative’s office, or be sent -
a consolidated copy of the rules of the Co-operatives; and
a copy of all special resolutions applicable to members and passed at a members meeting since the last AGM or the Co-operative, except special resolutions providing for an alteration to the rules of the Co-operative; and
a copy of the most recent financial information reported to Member under the Co-operatives Act 2009 (WA) as amended.
I meet the prerequisite requirements for membership of the Co-operative.
I am required to subscribe for at least one ordinary share in the capital of the Co-operative.
Subscription fee for one ordinary share is $1,750 comprised of $50.00 nominal value plus $1,700.00 share premium.
The Co-operative makes no warranty or representation regarding the benefits of membership.
This application is based on my own assessment of benefits expected to be derive from Co-operative membership.
The above email address is provided for the purpose of receiving communication from the Co-operative.
If accepted as a Member I will ensure the Co-operative has a current email address for member communications.
Co-operative is not required to give any reason should this application be declined.
If this application is not accepted for any reason a full refund will be made without interest and without deduction.
Acknowledgement
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I hereby apply for the following shares for the Total Payable on Application i.e. D multiplied by E:
A
Nominal Value Per Share
B
Premium Per Share
C
Total Cost Per Share
D
Ordinary Shares Applied For (insert No.)
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E
Total Payable on Application C multiplied by D
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If you are human, leave this field blank.