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Models of Success and Sustainability (MOSS)

Become a member - Online Registration


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I wish to apply for MOSS Membership in the following category:
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Please Select:
  
Individual NFP Professional @ $220pa allows for membership for one only member of the organisation (not exchangeable)

Not for Profit Organisation including universities @ $550pa allows for membership across the whole organisation

Individual Small Business Professional @ $250pa allows for individual membership only within the business (not exchangeable)

Small Business (under 10 employees) @ $660pa allows for membership of all personnel across the whole organisation.

Individual Government Professional @ $330pa allows for one only member within the organisation or Department.

Government Agency @ $770 allows for membership of up to three people across the organisation or agency.

Individual Corporate @ $400 pa allows for an individual non exchangeable membership within a large corporation.

Company @ $990pa provides exchangeable membership for up to 3 company executives within a large corporation.

Student @ $110 allows for membership for full time students only.

Gold @ $11,000pa provides membership for all company personnel across the organisation.

Contact Details:
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Organisation Name:
  
 
Principal Contact:
  
 
Title:
  
 
Phone:
  
 
Mobile:
  
 
Email:
  
 
Repeat your Email address:
  
 
Postal Address:
  
 
Postcode:
  
 
Company web address:
  
Where relevant, please list other company representatives who should receive notification of events, newsletters etc
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Name:
  
 
Title:
  
 
City:
  
 
Email address:
  
 
Name:
  
 
Title:
  
 
City:
  
 
Email address:
  
Please tick which category best suits your organisation:
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Advertising & Media
     
Agribusiness
     
Air Quality
  
 
Architecture & Design
     
Banking & Finance
     
Capacity Building
  
 
Cause Related Marketing
     
Corporate Foundation
     
Corporate Governance
  
 
Corporate Community Engagement
     
Corporate Community Investment
     
CSR/Corporate Sustainability Consulting
  
 
Diversity
     
Eco-Tourism
     
Education & Training
  
 
Emissions Trading
     
Engineering
     
Environmental Management
  
 
Environmental Measurement
     
Government
     
Human Resources
  
 
Human Rights
     
Industry Association
     
Insurance
  
 
IT
     
Legal & Compliance
     
Manufacturing and or Retail
  
 
Marketing
     
Measurement & Reporting
     
Mining
  
 
NGO / Charity
     
Oil, Gas & Petroleum
     
Project Management
  
 
Public Relations / Public Affairs
     
Sustainability Reporting
     
Public Utility
  
 
Quality Assurance
     
Recycling
     
Renewable Energy
  
 
Risk Management
     
Social Enterprise Development
     
Soil Restoration & Salinity
  
 
Standards
     
Supply Chain
     
Telecommunications
  
 
Transport & Automotive
     
Urban Planning and Development
     
Waste Management
  
 
Water Management
     
Volunteering
     
Other
  
Your Company Details:
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Please attach or email to info@moss.org.au a brief (50 words or less) statement describing your organisation along with a jpeg of your company logo
  
Please complete the relevant fields below:
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I am paying a total of:
  
 
I wish to pay by:
  
 
Direct Deposit.
  
 
Cheque Details:
  
Credit Card details - We accept Master Card and Visa Card only. A 2% processing fee is applicable to all credit card payments - COMPLETE ALL FIELDS
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Name on card:
  
 
Credit card type:
  
 
Card number:
  
 
CVC No:
  
 
Expiry Month:
  
 
Expiry Year:
  
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Disclaimer | Privacy Policy | Become a Member | Subscribe to our newsletter

Models of Success & Sustainability Pty Ltd (MOSS) ACN: 120 102 025
306 Tindals Road, Warrandyte, VIC AUSTRALIA 3113
P:
+61 3 987 99 886 / 0419 798 104
| E: info@moss.org.au | W: www.moss.org.au
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