Online membership application form CFA Membership Application See here for information about types of membership, membership benefits and membership fees. Select Membership Type**Associate membership and individual membership is not available to organisations eligible for full membership or individuals who work for such organisations.Organisation - Full MemberOrganisation- Associate MemberIndividualOrganisation member*Are you a consumer organisation that operates on a not-for-profit basis to advance the interests of consumers?YesNoYou are not eleigble for organisation membershipYou might be eligible for associate (non-voting) membership. Please review the information on types of membership. Organisation Name*Contact person* First Last Email of contact personWe will not publish this email address. Enter Email Confirm Email Organisation Email*Please your administrative email address or the best email for CFA to contact you in relation to your membership, including your annual membership renewal. Enter Email Confirm Email Individual Member Name* First Last Email*Please enter the best email for CFA to contact you in relation to your membership, including your annual membership renewal. We will not publish this email address. Phone numberFor CFA administrative contact. Will not be published.Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Website Your Twitter name, if any... and if you don't already, please follow @ConsumersFedAuDescription*Please provide a short description of the objectives and activities of the organisation. This will be used in consideration of your membership and, once approved, for publication on the CFA web site if you have elected that option.Description*Please provide a description of how you work in the interests of consumers including an outline of the work you do and your membership on any relevant committees (for consideration of eligibility for membership). Examples of work in the interests of consumers might include: representing consumer interests on consultative committees; developing campaigns or writing submissions in the interests of consumers; and previously or currently working with a consumer organisation (if you are an individual who works for an organisation that is eligible to be a Full Member, we encourage you to invite your organisation to consider joining). Why do you want to join CFA?*Please briefly explain why you would like to become a member of CFA.Declaration of Interests*All CFA members must declare any potential conflicts of interest if they are participating in discussions or activities such as coordination of advocacy and representation on committees. By selecting the box below you confirm that you will declare any potential conflicts of interest. I agree Include in Member Directory?*Please publish our organisation name, description and website details in the member directory on the CFA web site. See the current member listing page for examples.YesNoMain areas of interest/activityPlease tick any of the above that apply in whole or part. Use the description field to be more precise if necessary. This information will be published if you are an organisation and have elected to have a listing on the CFA web site. Financial Services Utilities Communications, IT, Privacy Food Health Ethical consumption, Environment, CSR Transport Public Services Everyday consumer issues (prices, shopping, warranties, consumer law) Product Safety Standards Membership fee*Organisations with total income less then $2million per annum pay $350. Larger organisations pay $1,250. Full or partial fee waivers are available on grounds of hardship or incapacity to pay. We will email an invoice once your membership is approved.$350$1250We seek a fee waiverMembership fee*The fee for Associate Membership is $500. In rare circumstances fee waivers or reductions may be considered on grounds of hardship/incapacity to pay. We will email an invoice once your membership is approved.$500We seek a fee waiverMembership fee*The membership fee for individuals is $50. Fee waivers may be available on grounds of hardship/incapacity to pay. We will email an invoice once your membership is approved.$50I seek a fee waiverIf you are seeking waiver of fees, please briefly state the grounds for your requestConstitutionPlease provide a copy of your organisation's Constitution / Rules of Incorporation in one of the following ways: 1. Enter a web link (URL) in the box below 2. Upload the consitution as a PDF or Word document in the Upload Constitution field below, or 3. Mail the document to CFA at PO Box 16193 Collins Street West VIC 8007. Upload Constitution (optional, see previous)Accepted file types: pdf, doc, docx.Confirmation*By selecting the box below and submitting this form you confirm a. that you are authorised to make this application b. the the information in the application is correct c. that you/the organisation agree to abide by CFA's rules d. that you have read the objectives of CFA and that you/your organisation have a consumer focus, support CFA's objectives and have compatible objectives to those of CFA. I agree SlackCFA uses Slack (a free messaging platform) to communicate with members. Please confirm below if you would like to be added to the CFA Slack Workspace, or contact email@example.com if you have any questions about Slack.Upload your logoOptional Please upload a .jpg or .png file with your logo to display in our list of members. Images that are either square (at least 100px x 100px) or wider than they are high (at least 100 px on the shortest side) will work better.Accepted file types: jpg, png.CommentsThis field is for validation purposes and should be left unchanged.