ASSOCIATE FORM 2017/18

 
   

 

Please note that only one form should be completed by HASA associate bodies. If you are an individual who would like to become an associate, please also complete this form. Please refer to HASA’s Constitution for more information about HASA’s objectives, classes of associates, duties of Council and more.

http://heritagesa.org/wp/constitution/

 

About your organisation
Name of organisation  
Postal address  
Email address  
Tel number  
Webpage URL    
Facebook page  
Twitter handle  
Instagram handle  
Other social media accounts 1.        
  2.        
  3.        
HASA Representative Contacts

(Individuals wishing to become Associates complete this section)

Contact 1  
Name & Surname  
Role/ position  
Email address  
Tel number  
Mobile number  
Contact 2  
Name & Surname  
Role/ position  
Email address  
Tel number  
Mobile number  
Name & Surname of Chairperson (if different from above)  

 

 

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