LGEMA Membership Application

Membership Cost is $60 for current sitting elected members.
Former elected members are free.
Non-members or associate membership is $100.
Upon receipt of the following information, we will provide banking details for payment by return email.

Given names:

Surname:

Your Email Address:

Date of Birth:

Are you Currently an Elected Member: Yes / No

If Yes, What Position do You Hold:

When Were You Elected:

What is Your General Occupation:

Best Telephone Contact:

We are a not-for-profit organisation. Do you have any time to assist LGEMA or any skills which might add to our current skill set?

Do You Have Anything Further to Add