Affiliate Member Application Form

Please ensure you have read HikeWest’s Affiliate Member Policy before completing the form below. Additional information is available on this website. If your organization requires more information on membership before submitting your membership application, please email the Membership Secretary.

Assuming the Board accepts the application and payment of your fee is received, your organisation’s name will be confirmed in HikeWest’s membership register as an Affiliate Member and you will be advised.

HikeWest’s annual renewal date for memberships is 30 June, commencing within the first calendar year after the year in which the Affiliate Member joined.

Affiliate Member Application

Organisation name*
Website address
Facebook site address
Contact Person
Position*
Title*
Surname*
Given Name*
Gender*
Mobile or Phone*
Email*
Applicant Profile
Please state very briefly how the interests and/or objectives of your organisation are sympathetic to HikeWest’s.*
Volunteer support
HikeWest is dependent on the generosity of volunteers who are willing to contribute their time and skills. Please let us know if you, or any other members of your organisation, are interested in volunteering any of the ways below.
I am interested in standing for the HikeWest Board if a vacancy arises.
I have communications and/or marketing skills and would like to assist with the newsletter / website / social media.
I am interested in becoming an associate who provides specialist skills or advice to HikeWest (e.g. legal, fundraising, graphic design).
I am interested in volunteering for events like the HikeWest Expo.
I am interested in making another contribution (please specify).
Volunteer name(s)
Contact details of volunteer(s)
Is there any other information you would like to share with us?
SUBSCRIPTION FEE $40.00
PAYMENT METHOD: Please make payment of the above fee online by direct deposit to the following account. Payment is to be made at the time of membership application. Your application cannot be processed until we have received payment into our account. If your application is unsuccessful we will make a full refund of your payment.
BSB: 036-039
Account No: 312567
Account name: HikeWest Incorporated
Payment description: [Your organisation’s name.]
Application completed for and on behalf of the applicant by
Name*
Date Submitted*
DD dash MM dash YYYY

Promoting and fostering bushwalking and hiking in Western Australia

Affiliate Member Application Form

Affiliate Member Application

Contact Person

Applicant Profile

Volunteer support

SUBSCRIPTION FEE $40.00

Application completed for and on behalf of the applicant by

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