Membership Application Form

Membership will include –

• Online Member Profile on SEQICC Business directory
• Opportunity to be profiled in our Feature Member premium spot on our homepage
• Opportunity to be profiled in our new monthly e-newsletter to our growing database
• Discounted tickets to our events
• Invitations to our Indigenous Business Workshops
• Invitations to our formal and informal Indigenous business networking and information events
• Have direct input into the direction of Indigenous business in Queensland and Australia
• Are provided with a strong ‘voice’ in matters that are of concern and priority for Indigenous business

Fill in the form below to submit your request for Membership.

Members Directory Application

Applicant Details

1. (This information will not be listed publicly in the Directory)
2. Your Name(required)
3. Email(valid email required)
4. Fax
5. Phone
6. Mailing Address
7. Mailing Address 2
8. Suburb
9. Postcode
10. State

Business Directory Details

1. (This information will be available in the Directory)
2. Business/Member Name(required)
3. (Unless a sole trader, members are not individuals but businesses)
4. Business Address(required)
5. Business Address
6. Suburb(required)
7. Postcode
8. State Queensland New South Wales Victoria Tasmania South Australia Northern Territory Western Australia Australian Capital Territory (required)
9. Business OverviewShort description of your business (50 words)
10. Products / Services (Description)(required)
11. Membership Type Full Member Affilliate Member (required)

Supply Nation

1. (This information will not be listed publicly in the Directory)
   For more information on Supply Nation go to their website
3. Supply Nation Member Supply Nation Supplier

Social Media

1. Website
2. Facebook
3. Twitter
4. Google Plus
5. You Tube
6. Linked In
7. MySpace
8. Pinterest
9. Submission Verification

1. Upload logo Image - Max width 200px
2. Terms and Conditions
3. I have Read the Terms and Conditions

 

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