Application Form

I desire to become a member of the Corinella Residents and Ratepayers Association Inc. A0045069A.

In the event of my admission as a member, I agree to be bound by the Rules and Policies of the Association for the time being in force.

“Rules” and “Policies and Procedures” can be downloaded from the Documents and Downloads page

Complete and submit the online application form below, or download the Application form, fill in, and send to: [email protected]

Application Form download

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Other address (if applicable)

• Other address

Other address (if applicable) *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Email *

Phone

Mobile:

Partner Application

• Add partner to application?

Check here if you wish to add a partner to your application

Partners Name *

First

Last

Partners Email (if different)

Partners Phone

Partners Mobile

GDPR Agreement *

• I consent to having this website store my submitted information so they can respond to my inquiry.

Submit application

Current membership fee for the year ending 30/6/2025 is $15 per annum per individual or $25 per annum per couple.

N.B. For new applications, payment is not required until your application has been accepted and the Secretary advises you that payment is now due.

Payments can be made by:

1. EFT:
   BSB: 633000 Acct. No.: 120868112 Acct. Name: Corinella Residents and Ratepayers Ass.
   Reference: Your name/s.
2. Cash/cheque directly into Bendigo Bank Acct. Name: Corinella Residents and Ratepayers Ass.
   Acct. No.: 120868112 Reference: Your name/s.
3. Cash at the door at the start of a General Meeting.

If paying by EFT or direct payment via the Bank would you please send notification of payment and your application submission to: [email protected]