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Membership Application
Full name of organisation
*
Organisation type
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Indigenous
Community
Conservation
Industry
Government
Coastal & marine
Education
Research
Other
Organisation's address
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Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Is your organisation's mailing address different ?
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Mailing address
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Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone Number
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Email address of person submitting application
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Why do you want to become a member?
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Describe your bona fide interest in natural resource management by writing your mission statement, vision, or relevant content from your constitution
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Number of organisation members
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Number of paid staff
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President / Chair
Full name, phone number and email address
Vice President / Chair
Full name, phone number and email address
Secretary
Full name, phone number and email address
Treasurer
Full name, phone number and email address
Name of authorised officer
Full name, phone number and email address
Position
Full name, phone number and email address
How did ratification of Delegate 1 and Delegate 2 occur?
AGM
General meeting
Executive committee meeting
Other
Date of meeting
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DD slash MM slash YYYY
Full name of Delegate 1
First
Last
Position
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Email
*
Phone Number
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Full name of Delegate 2
First
Last
Position
*
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