Membership Application Form

First Name*

Last Name*

Job title*

Email*

Phone Number*

Company name*

Street address*

City*

State/Region

Postal code*

Industry*

Number of employees

Website URL

Membership Type*

Individual or Micro membership (1 person) - $120 + GST
Small membership (2-10 Employees) - $270 + GST
Medium membership (11-40 Employees) - $420 + GST
Large membership (40+ Employees) - $630 + GST

I am an authorised person of the above-named business and hereby apply for Membership of Be.Bendigo on behalf of that business.

Payment Method*

Select your preferred payment method and you will receive the instructions once submitting the form.

Direct Deposit

Credit Card

Invoice

Date*

Day/Month/Year

As part of any Be.Bendigo sanctioned event, program or workshop, members and other delegates are expected to:
1. Conduct themselves professionally and politely at all times
2. Behave appropriately, including use of appropriate language
3. Take reasonable care and behave in a safe manner at all times
4. Not engage in any conduct that might damage the reputation of Be.Bendigo or any related parties
5. Behave in a non-discriminatory manner at all times (this includes respect for a person’s race, colour, religion, national origin, age, sex, sexual orientation, marital status, family responsibilities, pregnancy or potential pregnancy, union membership or non-membership, mental or physical disability)
6. Not engage in bullying or harassment.
Be.Bendigo reserves the right to cancel or revoke any membership or refuse entry to any Be.Bendigo sanctioned event, program or workshop at its sole discretion.

I understand.*