Let's make a stand

Registration Form

Strathfieldsaye & Districts Community Enterprise Registration Form

To pledge your support or to find out information on the Strathfieldsaye & District Community Enterprise, fill in your details below and click submit.

Please note that the contact details may be shared by the Strathfieldsaye & Districts Community Enterprise and their business partners Bendigo Bank and Bendigo Community Telco.

CONTACT DETAILS
First Name:
Surname:
Residential Address:
Postal Address: As Above
Home:
Work:
Mobile:
Email:

Please provide email address in order to receive our newsletters and up-coming community event announcements.
Are you an existing customer of Bendigo Bank?:
Yes No

Are you an existing customer of Bendigo Community Telco?:

Yes No


If you are, have you had your accounts tagged to the enterprise?

Yes No Not sure please forward my details on and ask the Bank and/or Telco to check for me

If you are not a customer, are you happy for us to forward your details to Bendigo Bank and Bendigo Community Telco allowing them to contact you direct?
Yes No

Are you happy to added to the Strathfieldsaye & Districts Community Enterprise mailing list, allowing us to keep you informed of the initiatives and work being undertaken by us?
Yes No

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