3WBC Membership Application Form

Select your membership type:

Choose the membership type below that best represents you:

* Membership Type

Individual Member $35.00 for one year Individual full membership.
Concession Member $20.00 for one year Members eligible for concessions.
Family Membership $50.00 for one year Membership for families - 2 adults and up to 3 children at the same address.
Business Membership $50.00 for one year memberships for businesses.

Your details:

Please enter your name and address details for our membership records:

* First & Last Name

Family members linked to this membership:

Family Member 1 Name

Family Member 1 Email

Family Member 2 Name

Family Member 2 name

Family Member 2 Email

Family Member 3 Name

Family Member 3 name

Family Member 3 Email

Business Details:

Business Name

What is your business name

Business ABN

The ABN Number for your business

Business Website

Website for your business (if you have one)

Your postal address details:

* Street

* City

* Country

* State

* Postcode

* Your E-Mail Address

a confirmation email will be sent to you at this address

Create a membership portal account:

By creating a membership portal account, you will be able to log in at any time to update your details, change your address or pay for your renewals.

You will be able to access your membership details at any time by heading to: https://members.3wbc.org.au to login and edit.

* Choose a Password

must be 6 or more characters

* Confirm Your Password

Your interests:

As a member based organisation run solely by volunteers, we rely on our people to assist with the ongoing operation of the radio station.

Please choose one (1) or more of the following options that tell us how you would like to become a part of the team at 94.1FM 3WBC.

Member Interests

As a 3WBC Member, I am interested in:

Becoming an on-air presenter
Assisting with administration
Helping with Outside Broadcasts or events
Assist with the technical operation of the station

Member Information:

To develop a better understanding of who our members are, we would ask that you complete a few questions about yourself that we can use to better develop our programs and services to our community.

The information we collect will not be used to in conjunction with your personal details. The information will only be used in aggregate form and will not identify individual members.

Answering these questions is not mandatory and have no bearing on the success of your 3WBC membership application.

Postcode

If your residential postcode is different from your postal address, please enter it here.

Age Range

Choose the age range that best describes you.

Gender Identity

I Identify my gender as....

Female
Male
I prefer not to disclose
Other (please note below)

Other

If "other" enter here