ESU Social Membership

The English-Speaking Union (Victoria Branch)

SOCIAL MEMBERSHIP APPLICATION

I am aged 18 or older and wish to apply to become a Social Member of the English-Speaking Union (Victoria Branch). I note that Social Membership does not confer voting rights. I agree that, if accepted as a Social Member, I will abide by the Constitution of the English-Speaking Union (Victoria Branch).

Applicant Details

Title *

Surname *

First Name *

Address *

Town or Area *

Postcode *

Telephone *

A mobile number is preferred. Please include area code if providing a landline number.

Email Address *

Multiple addresses can be listed when separated by comma

Other Household Members

Where applying for household membership, please also provide the name (Surname, First name) of the other/s in your household:

Proposer Name *

Please provide the name (Surname, First name) of the eligible member who is supporting your membership application as 'Proposer'.

Proposer's Email *

Please provide the email address of the eligible member who is supporting your membership application as 'Proposer'.

Seconder Name *

Please provide the name (Surname, First name) of the eligible member who is supporting your membership application as 'Seconder'.

Seconder's Email *

Please provide the email address of the eligible member who is supporting your membership application as 'Seconder'.

Membership Categories
Please choose from the below list of membership categories

Categories *

Educational Institution

If you have selected a Student Social Membership, please provide the name the educational institution and your student number.

Health Care Card Number

If you have selected a Concession Social Membership, please provide your Health Care Card number.

Signature *

Checking this button forms your electronic signature and confirms that all information provided on this form is correct and true to the best of your knowledge.

What Happens Next ?
Your application will be considered by the ESU Council. Upon approval, the Secretary will invoice you for your payment. We encourage payment by EFT or credit card.

Privacy
It is acknowledged that in administering its membership systems, the English-Speaking Union (Victoria Branch) will need to collect personal information from applicants and members. The ESU is committed to protecting the privacy and confidentiality of individuals. The ESU Privacy Policy can be found at https://esuvic.org.au/content/privacy-policy.

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