MEMBERSHIP APPLICATION

ICANN GNSO Non-Commercial Users Constituency (NCUC)

 

 

To:       NCUC Secretariat

            c/o The Convergence Center

            Syracuse University School of Information Studies

            307 Hinds Hall

            Syracuse, NY 13244 USA

            [log in to unmask]

Please provide the following information and send it to the address above, preferably in electronic form by email. For details and questions, please refer to the NCUC charter at http://www.ncdnhc.org/current_charter.htm  first.

 

A) Organisation Details

Name of the Organization: Electronic Frontiers Australia Inc

 

Name of the Director: Chairman Dale Clapperton

 

Domain Name of the Organization: www.efa.org.au

 

Mailing Address of the Organization: PO Box 382 North Adelaide SA 5006 Australia.

 

Email address of the organization: [log in to unmask]

 

 

B) Representatives

 

We designate the following person as our official representative in NCUC:

Name: Kimberley Heitman

 

Telephone Number:+61439 938238

 

E-mail address: [log in to unmask]

 

We designate the following person as our alternate representative in NCUC:

Name: Dale Clapperton

 

Telephone Number:+61416 007 100

 

E-mail address: [log in to unmask]

 

 

C) Type of membership

 

 X         Small Organization (under 1000 members or under 200 employees / dues: US$ 50 for two years)

 

 ___      Large Organization (1000 or more members or 200 or more employees / dues: US$100 for two years)

 

 ___      Request for membership fee waiver. As requested, we attach our budget details and explanation

            Membership dues must arrive to enable membership rights unless the Executive Committee issues a waiver.