Brisbane Interactive Radio Group Inc. Membership Application Form
To become a member and support 1197, please complete the following details.
Sign in to Google to save your progress. Learn more
Name *
Phone *
Email *
Full Address (including State & Postcode) *
Membership Type *
Use of Media and Subscription to Newsletters
From time to time Brisbane Interactive Radio Group Inc. uses images of volunteers as part of advertising and promotional activities. Please indicate if you agree to have your image (or your family) used for these activities. *
Subscribe to Newsletters Authority *
MEMBER AGREEMENT:
1. As a financial member of Brisbane Interactive Radio Group Inc. I agree to abide by the Association’s Policies and Constitution.
2. Brisbane Interactive Radio Group Inc. retains ownership and copyright of all material produced and broadcast by the station.
3. I formally indemnify Brisbane Interactive Radio Group Inc. against all actions, suits, claims, losses and/or damage arising out of and consequential upon anything broadcast or recorded by or on behalf of the applicant.
4. Brisbane Interactive Radio Group Inc. abides by all volunteer codes of practice.
5. Membership fees are for twelve months and are payable by the 30th January each year. Association Policies & Constitution/Station By-Laws & Policies are available for perusal on the stations website.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Brisbane Youth Radio. Report Abuse