Stakeholder Membership Application

A Stakeholder Membership applies to client groups such as State Government, Local Government or Water Authorities etc.

Physical Address(Required)
Postal Address
Please enter your postal address if different from your physical address
Primary Contact(Required)
This person will be responsible for voting and constitutional rights and will have access to the member portal.

APPLICATION SUPPORT

Please list current CCF Tasmania Contractor Members that can provide a reference to support this application.
Proposers Name(Required)
Proposers Name(Required)

ADDITIONAL CONTACT DETAILS

Additional contact (person who will be contacted in relation to events, information, and member visits):
Name(Required)

FINANCE CONTACT

Name(Required)

BUSINESS DETAILS

INSURANCES

As a member of CCF Tasmania it is a requirement that your business maintains appropriate insurance cover.

Insurances

DD slash MM slash YYYY
DD slash MM slash YYYY

Declaration

NAME OF PERSON SUBMITTING FORM(Required)
DD slash MM slash YYYY

All personal information you provide in this form will be used by CCF and selected 3rd parties in accordance with our Privacy Policy, which can be accessed on our website www.ccftas.com.au/privacy and a copy can also be obtained by calling us on (03) 6159 6157 or by emailing us at ccftas@cccftas.com.au by providing your personal information, you agree to such use.

By virtue of your application, you will have dual membership of CCF Tasmania Ltd and the Civil Contractors Federation Registered Industrial Organisation.