Membership Online Membership Application Form Name * First Name Last Name Trading Name * Postal Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * I agree to abide by the rules of the Group as set out in the Constitution. Signature * Type applicant's name as signatory Date * Please note the format is Month then Day MM DD YYYY Payment Details: The Gillamii Centre Inc BSB 633 000 Account 110 006 285 Reference – (Your Trading Name) Membership Thank you for your application. We will be in touch!Note: As per The Gillamii Centre Inc. constitution, acceptance of membership is at the committee’s discretion.