Form

Business Membership Application

Business name*

The applicants name eg. the registered business name

ABN number*

(input number without spaces)

First Name*

The first name of the applicants lead representative eg. an Aboriginal and/or Torres Strait Islander majority owner lead contact person

Last Name *

The last name of the applicants lead representative eg. an Aboriginal and/or Torres Strait Islander majority owner lead contact person

Website URL*

Email*

The email address of the applicants lead representative

Mobile Number*

The mobile number of the applicants lead representative

Street address*

The main business location or street location of your business

Street address 2

Add your Post Office Box or other address where post is received.

City/Town/Suburb*

State/Region*

Postal code*

Contact number*

The applicant's main contact number eg. reception or main customer services number

Year founded*

About*

A couple of questions on your business:
1. Does your business have a shopfront? eg. a bricks & mortar location that customers can shop in and visit. YES | NO
2. Is your business a certified social enterprise and/or B-Corp?

Facebook business page

We will add your page to our members facebook page

Type of Business*

Are you a member of...*

Select all organisations you are a member of OR 'None of the above' if you are not a member of any of these organisations.

Number of employees*

within the retail business entity. Include number of people you pay wages to. DO NOT INCLUDE BUSINESS OWNERS IN THIS NUMBER

Name all people who have a ownership/director role in the business...*

Use one line for each owner. First Nations owners MUST equal 51% or more of ownership.
eg. Full Name | Email | % of ownership | First Nations/Non-First Nations | Language Group/Country (if known)

Business Logo*

Upload a portrait/square business logo of the retail business entity in .jpg or .png no larger than 750 x 750px.

Add your supporting documents here...*

Please upload the following to support your application:
Mandatory
- a current and valid certificate of membership of an organisation listed above (you can email info@supplynation.org.au to request a duplicate certificate if required)
OR
- if your business is owned by a not-for-profit, please provide information on the registration of the entity eg. the ORIC or ASIC
AND/OR
for each First Nations owner of the business:
- a Confirmation of Aboriginality from your RAP/land council or an ACCO (Aboriginal Community Controlled Organisation)

Additional Documentation
- other evidence such as work history, genealogies, letters of support (if the above documents are not able to be provided at the time of application).

NOTE: We may contact you for further information if we cannot verify information provided in a timely manner.

Additional Files*

Please ADD at least ONE image of your business and/or at least ONE quality image of a hero product you sell.
Please ADD a paragraph on what your business is eg. 'Warrakai Goods is a retail brand specialising in high-quality lifestyle products that celebrate local design and sustainability. From handcrafted homewares and eco-friendly skincare to unique gifts and apparel, we focus on curating collections that tell a story and connect people through culture, creativity, and community. Our products are available online, through select stockists, and in our Sydney store and we’re committed to ethical sourcing and supporting regional makers wherever possible.'

Information

- Members must be 'significantly' or 'primarily' a retail-based business. Your website must demonstrate your activity in this area. If it does not, you must provide additional information to demonstrate that the business has significant activity and/or turnover from retailing goods to customers.
- New applications will be processed in lots. This may occur monthly depending on number of applications awaiting processing and may be delayed during peak retail periods. Please give your application 4 weeks from time of submission before emailing to enquire on its status. Note the board may request additional information from you to assess to your application or confirm your membership. The Board reserves the right not to accept submitted documentation and in some cases may request alternative documentation.
- Aboriginal Retail Australia's 'standard' business membership is both 'fee-for-service' and 'free' membership categories. At this time, Aboriginal Retail Australia has waived the collection of all retailer business membership fees. Other forms of membership will also be available on launch of the website in 2025.
- Note: Membership is provided on the basis of a registered business name, not your ABN number. If you have more than one business name you are welcome to apply for each registered business name you or your company holds.