Business Membership Great Places to Stay on Freycinet

Business Membership Rental Property

Application/Business Membership Rental Property on the Freycinet Coast

Membership Criteria:

Public Liability Insurance Certificate of Currency copy is required If applicable – Councils approval for change of use (if a new rental property) All business membership includes community membership @ $20 individual or $30 per family. Details of individual & family members to be included on this form. *all fees will be invoiced for each Financial Year or on initial application, via email*

Registered name of property:

Owner of property:

First Last

2nd Owner of property:

First Last

Postal Address

Street Address City State / Province / Region ZIP / Postal Code Country

Property Address:

Street Address City State / Province / Region ZIP / Postal Code Country

Phone

Mobile

Owner’s representative if applicable

First Last

Owner’s representatives address if applicable

Street Address City State / Province / Region ZIP / Postal Code

Owner’s representatives phone if applicable