Membership Application Form

Organisation name *

Buddhist Tradition

Culture

Spiritual Teacher Local

Spiritual Teacher Worldwide

1. Main Contact Name *

First

Last

Main Contact Email *

Main Contact Phone Number *

2. Administrative (Second) Contact

First

Last

Administrative (Second) Contact - Email Address

Administrative (Second) Contact - Phone Number

3. Organisations Email address *

Facebook

Website address

Street address

Suburb

Postcode

4. Activities and Areas of Interest

Primary activities (teachings, prayers, meditation, festivals, other)

5. Description of your organisation

6. Nominated by Existing Member Organisation

as per Clause 5(a) of the Buddhist Council of New South Wales constitution

Name of Authorised person

FOR INDIVIDUALS