Australian Mens Shed Association
Incorporation No INC9886884
Insurance Membership Application
IMPORTANT NOTICE
Do you wish for your membership to include AMSA Insurance? *
Incorporation or ABN Number: (must be incorporated or have an ABN or under the auspice of an incorporated body to be eligible for AMSA insurance)
Name of Shed *
Shed Address
Name of person authorised to make application *
Contact Phone *
Contact Email *
Date of Application
Shed Activities *
Number of Members *
Are you Incorporated? *
Incorporation Number