Agency Membership application - Financial Counselling Victoria

Agency Member

Membership Fee Selected

full_name

Membership Fee

Agency Membership Options(Required)

Agency Membership (half-year rate, until 31 Dec 2026) - $ 100.00

Membership Fee

Price: $ 0.00

Contact Information

Organisation Name

New Organisation Name(Required)

If your organisation is not listed, please enter the name here.

Organisation Phone Number(Required)

Billing Email Address(Required)

Billing Address(Required)

Street Address Address Line City State / Territory Postal Code

Agency Representative

Please confirm a representative for your agency. The Agency Representative must be a manager who has one or more financial counsellors reporting to them. The representative will be included in the email distribution list for Agency Members and receive access to member-only content through the FCVic website.

Please keep us informed if this position changes during the year and you wish to appoint a different Agency Representative.

First Name(Required)

Last Name(Required)

Email Address(Required)

Phone Number

Payment

Membership Option

Membership Fee

Price: $ 0.00

Payment Option(Required)

Credit Card

I would like to receive an email invoice.

Credit Card

Agency Member

Membership Fee

Contact Information

Agency Representative

Payment

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