Become a Member Interested in becoming a member of the Kallangur Business Association? Complete the form below. Applicant Details Name (First & Last) (required) Phone Number (required) Email (required) Postal Address Please include a photo of yourself here, to be added to the website (File size must be less than 2MB): Membership Type (required) Individual ($35)Sole Trader ($35)Business (2-25 employees) ($55)Corporation (26+ employees) ($150) Please List any existing member/s proposing or seconding your application (if you don't have anyone to list, the Executive will complete this process on your behalf) Business Details Business Name Summary of Business Phone Number (if different from above) Email (if different from above) Office Address Include "(by appointment only)" beside address Google Map link Postal Address Website Facebook Page Insurance Disclaimer As per the "Associations Incorporation Act 1981", we need to inform you that we, the Kallangur Business Association, currently to do not have Public Liability Insurance. I have been made aware that the KBA does not have Public Liability Insurance. I confirm that I am the applicant listed on this form and by submitting this form I am applying my electronic signature to this application.