Member Application Application for Membership at Community Clubs Victoria Step 1 of 3 33% Club Name(Required) (Club Name), hereby applies to become a member of Community Clubs Victoria Inc. In the event of our admission as a member, we agree to support the purposes of the Association and be bound by the Rules of the Association for the time being in force.Name and Position of Applicant(Required) A person authorised to apply on behalf of the clubSignature of Applicant(Required) Entering your name will be considered as your signatureDate(Required) DD slash MM slash YYYY Your Personal InformationClub Name(Required) Name(Required) First Last Address(Required) Postal Address Telephone(Required)FaxEmail(Required) Website ABN ACN Your Business InformationPresident Email Secretary Email Treasurer Email Manager Email Staff NumbersFull TimePart Time or CasualVolunteer Add RemoveCCV Membership Fee 2023/24(Required)Please mark membership category $70 + GST - Tennis Club $92 + GST - Volunteer-no employees $436 + GST - Small Non-Gaming 1-2 employees $1000 + GST - Mid Non-Gaming 3-10 employees $2,124 + GST - Large Non-Gaming 11-20 employees $3,313 + GST - Extra Large Non-Gaming 21+ employees $1,062 + $24.50 per EGM + GST - Gaming Small 1-30 EGMs $1,203 + $24.50 per EGM + GST - Gaming Mid 31-60 EGMs $1,933 + $24.50 per EGM + GST - Gaming Large 61 + EGMs What amenities does the club offer?Please select Bistro Bar/s Wagering Other/Gambling Internal Clubs Sporting Facilities List for Internal Clubs List for Sporting Facilities Upon receipt of this form, Community Clubs Victoria will forward a tax invoice, payable within 14 days.CAPTCHA Download CCV Privacy Notice
