Membership Level *

Champion of Tourism

Partner of Tourism

Ambassador of Tourism

Intro of Tourism

WA Tour Operator

RTO

FREE 6 MONTH MEMBERSHIP

Business Name *

First Name

Last Name

Trading Name

First Name

Last Name

Street Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Postage Address (if different)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Contact *

Main contact for all Rediscover Rockingham communications, invites and opportunities. This person should have regular access to their email and their email

First Name

Last Name

Phone *

(###)

###

####

Working with Penguin Island Visitor Centre *

Members of Penguin Island Visitor Centre acknowledge and agree that to access and participate in our programs, campaigns and opportunities, they are responsible for ensuring that they: 1. Obtain and maintain any permits, insurances, licences and accreditations required (if any); and 2. Adhere to any legal requirements associated with the program, campaign or opportunity, including complying with any laws, directions of any authority or Notices. Penguin Island Visitor Centre can cancel any membership, event, campaign or opportunity if a member fails to comply with the above

Yes, I confirm

Acknowledgements *

We seek the below information to enable Penguin Island Visitor Centre to liaise with you as our member. It satisfies the requirements of our funding bodies by releasing your contact details to them to enable them to: 1) add you to their database as a member (Tourism & Events Rockingham and Rockingham Tourism Industry); and/or 2) send direct marketing material By ticking below, you consent to the disclosure of your contact information to Penguin Island Visitor Centre's affiliates (Tourism Australia, Tourism Western Australia, Destination Perth, City of Rockingham, other Rockingham funding bodies, other members).

Yes, I agree

Payment & Renewal *

A tax invoice will be issued to you once your membership application has been approved by the Penguin Island Visitor Centre Directors. Payment instructions will be outlined on the tax invoice. Rediscover Rockingham membership covers the financial year and is due for renewal 1st July each year. Invoices are issued on a 30-day account and sent to members 1st June.

Please send me a tax invoice

Online Products *

Commission level will be discussed on confirmation of membership

Yes