We use AVG Internet Security Suite

HugoNet are our ISP

This site is hosted by Vines IT

Membership Application

Central Hunter Community Broadcasters Inc.

Incorporation #: Y2802038         ABN: 60371550162

Application by Email

You MUST have a valid email account setup on your computer to send this online form.
Otherwise, click the "Download Printable Form" link below to download a printable form. Click the "Contacts Page" link to get our postal address.

Download Printable Form.         Contacts Page

I hereby apply to become a member of Central Hunter Community Broadcasters Inc.  In the event of my being admitted as a member, I agree to be bound by the rules of the Association for the duration of membership.

Mandatory fields are marked *

Title
Given Name(s)*
Family Name*
Street Address*
Suburb*
Postcode*
Phone 1*
Phone 2
Mobile
Fax
E-mail Address*
Group Name (if applicable)
Have you been a member of another Community Radio?  If so where?
Preferred Membership type (click one):*

Concession Individual Family
Non-Profit Group Business Group

Other Interests (Optional)
Interests / Hobbies
Skills (e.g. Office, Technical, Building, Writing, Sales)
I would like training in.....
Volunteer Availability

Privacy Statement (please read)

Central Hunter Broadcasters Inc. collects the information supplied in this form for the purpose of an Application for Membership of the Association.  In the event of your being admitted as a member, the details will be held on the Association's membership database and used only as required by the Association's Constitution.  All information is confidential and will not be disclosed to anyone outside the Association.
You have a right of access to, and correction of the information supplied in this application.
The supply of this information is required under the Constitution and failure to supply the mandatory items may result in this application being rejected.