Membership Registration

The membership registration form allows you to register your business details with the Bendigo Business Council. Please provide as much detail as possible.

General Details

Title: *

First Name: *

Last Name: *

Position Held: *

Organisation: *

Postal Address: *

Suburb: *

State: *

Postcode:

How many employees does your organisation have?

Provide 10 key words that best describe your
product or services (for our website search
facility)

Please Provide a 20 word description of your business for the website.

Choose your membership level - click here for full details on membership benefits. All prices shown include GST.

	Business Membership	$ 132.00
	Premium Business Membership	$ 396.00

Contact Details

Telephone: *

Mobile:

Facsimile:

Email:

Web Site Address:

Comments:

Once you have completed this form you will be issued with a tax invoice for your membership payment.

* Indicates required information