RISSB Member Application Form

Company Name: ^*

Company ABN:

Company Website: ^*

Company Description: ^*

Company Status ^*

Network Manager/Owner

Freight Operator

Passenger Operator

Rail Supplier or Contractor

Other

Does your company accept RISSB’s Constitution in becoming a member?

Yes No

Will your company provide the guarantee of $10 required under Clause 22.2 of the Constitution.

Yes No

Is your company registered and operating in Australia?

Yes No

Annual Turnover ^*

Membership fees are based on turnover for Australian or New Zealand rail related activities.

Apply for Associate Membership. Check your eligibility here

Company Address

Address: ^*

Suburb: ^*

State: ^*

Postcode: ^*

Country: ^*

Company Phone Number: ^*

Postal Address

Same as the Company Address

Address: ^*

Suburb: ^*

State: ^*

Postcode: ^*

Country: ^*

Point of Contact for RISSB Business

Title:

Job Title: ^*

First Name: ^*

Last Name: ^*

Email: ^*

Mobile Number: ^*

Phone Number: ^*

Point of Contact Address

Same as the Company Address

Address: ^*

Suburb: ^*

State: ^*

Postcode: ^*

Country: ^*

Account Contact Details

Title:

Job Title: ^*

First Name: ^*

Last Name: ^*

Email: ^*

Mobile Number: ^*

Phone Number: ^*

Account Contact Address

Same as the Company Address

Address: ^*

Suburb: ^*

State: ^*

Postcode: ^*

Country: ^*

CEO Contact Details

Title:

Job Title: ^*

First Name: ^*

Last Name: ^*

Email: ^*

Mobile Number: ^*

Phone Number: ^*

CEO Contact Address

Same as the Company Address

Address: ^*

Suburb: ^*

State: ^*

Postcode: ^*

Country: ^*

Why have you decided to join RISSB?

Comment: ^*

I have read, and agree to, the Terms & Conditions of Membership

Please read our Privacy Statement.

Rail Turnover PA	Funding Class
>$750M	1
$250 – $750M	2
$100 – $250M	3
$50 – $100M	A
$20 – $50M	B
$5 – $20M	C
$1 – $5M	D
<$1M	E

a.	an individual, small contractor or supplier with three or less staff and a turnover of less than $1M per annum supplying services or equipment to the Industry;
b.	distinguished individuals who have given long and meritorious service to the Industry and whose activities promote or have promoted the objects of the Company;
c.	individuals who are engaged in studies associated with the Industry;
d.	an employee union, higher education institution or registered training organisation, who has an interest in the Industry generally;
e.	a tourism and/or heritage organisation that is a registered charitable organisation and has operations turnover of less than $1 million per annum.

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