Organisation Member - One-off Payment - History Council of New South Wales

Organisation Membership Form

Complete this form to become a member or to renew your membership of the History Council of NSW.

If you would prefer to set up an ANNUAL RECURRING SUBSCRIPTION for your membership, please Click here.

What type of organisation are you?

Large - $650 (cultural, academic and government institutions)Medium - $250 (local libraries, galleries, councils, professional organisations)Small - $100 (voluntary and local organisations such as historical societies)

Organisation Details

Organisation Nameyour full name

Address

Websiteyour full name

Why are you joining/renewing with us?

Professional development opportunitiesNetworking opportunitiesAwards and prizesHistory Week event registrationsNews of employment opportunitiesSector news

Other reason for joining/renewing?more details

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Primary Contact Details

Please enter the details of the person at your organisation who will be responsible for the membership.

Please note: the primary contact will receive all email correspondence relating to the membership.

First Name (Primary Contact)your full name

Last Name (Primary Contact)your full name

Job Title (Primary Contact)your full name

Email (Primary Contact)a valid email

Telephone Number (Primary Contact)your full name

Subscribe to our newsletter

Yes, please subscribe me to the email newsletter

Billing Contact (optional)

Do you want to add a separate billing contact?

First Name (Billing Contact)your full name

Last Name (Billing Contact)your full name

Job Title (Billing Contact)your full name

Email (Billing Contact)a valid email

Telephone Number (Billing Contact)your full name

Payment Details

Please note:

Upon entering your payment details, when submitting, click the 'submit' button once and please check your email to see whether the payment has been processed. If not, please contact admin@historycouncilnsw.org.au for further assistance.

Invoice NoPlease enter your invoice number if you have been invoices via the HCNSW but would like to make your payment via credit card instead of Direct Debit

AUD $[field5]

Stripe Card Placeholder

Apply

Invoice for Membership

We will email you an invoice including payment details after you submit this form.

NOTE:

Please ensure that you submit the form below so we can process your membership application and invoice you.

Upon submission, you will receive a receipt of payment as well as an invoice in a separate email.