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Something went wrong. Let's see what the issue is:

If you're here to renew or reactivate a prior membership:

Your renewal link could have expired or be inactive.

Please close this window and use the renewal link we sent you to open this form once more.

If you see this message again, please contact us to have the link re-activated.

Application Step 1 - Complete this Form

► Allow up to 10 business days for your membership application to be processed

► Look for a welcome email and receipt in your inbox

Application Step 2 - Complete the GSA Insurance Form to Receive Certificates

► Combined Liability (Public and Products) Insurance is available for organisations with a gross annual income under $1m

► Complete your insurance application through the GSA website linked from this form

► Insurance applications can take 2-4 weeks to be approved

► Insurance certificates valid to 31 October 2025 will be sent by email in late October 2024

RAV Insurance Available	Association Liability	Volunteer Workers	Combined Liability Insurance
NFP Small Creative Organisation	✓	✓	✓
For Profit Small Creative Organisation	✕	✓	✓

Membership Terms and Conditions

I have read and understood the Membership Terms and Conditions.

Questions?

► If you require more information about Membership or insurance, please go to the FAQs available on our website

► If you require assistance with the online form, please contact the Regional Arts Victoria Membership team at membership@rav.net.au or by phone on 1300 882 531

► You can save and return to this form at any time

Eligibility for Organisation Membership

Organisation Name

Organisation Name
Contact us if your name has changed.

Is your organisation incorporated in the State of Victoria, Australia? Or is your organisation's principal place of business in the State of Victoria?

YesNo

Does your organisation have the promotion of regional arts or cultural pursuits as a primary or principal focus?
(e.g. Your organisation runs regional events or works with regional artists)

YesNo

Is your organisation a registered not-for-profit or charitable organisation?

YesNo

What was your gross income for the last year, including grants (include the last financial year that you have completed your tax return)

Numbers Only! 10000 not $10,000

Ineligible

Based on your responses above, we are sorry to say you are not eligible for Organisation Membership. If you would like to stay in touch with Regional Arts Victoria please sign up for our enews here

Ineligible for master Combined Liability Insurance policy

Based on your response that your organisation has a gross annual income over $1,000,000, you are eligible for Organisation Membership and Association and Volunteer Workers insurance. However, you do not qualify for our master Combined Liability insurance policy. Please continue the form if you would like to continue your membership application. Contact us if you have any questions.

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Organisation Information

Organisation Phone Number

For general enquiries

Organisation Email

For general enquiries

Membership communications will only be sent to the nominated Primary Contact

Organisation Website

Postal Address

Traditional Place name (if usure please leave blank)

Further information: https://aiatsis.gov.au/explore/map-indigenous-australia

Mailing Street Address

Mailing Suburb

Mailing State

Mailing Postcode

Is your street address different from the above?

Street Address Information

Traditional Place name (if usure please leave blank)

Further information: https://aiatsis.gov.au/explore/map-indigenous-australia

Street

Suburb

State

Postcode

Government

Which Local Government Council or Shire is the organisation based in?
If unsure click here.

Which State Government Electorate is the organisation based in?
If unsure click here.

Which Federal Government Electorate is the organisation based in?
If unsure click here.

Office Bearers

President or Director

First Name

Last Name

Mobile Phone

Other Phone

Email

Secretary or Administrative Contact

First Name

Last Name

Mobile Phone

Other Phone

Email

Treasurer or Finance Contact

First Name

Last Name

Mobile Phone

Other Phone

Email

Primary Contact

The primary contact will receive all renewal information, insurance information and all other notifications from Regional Arts Victoria by email.

Nominated Voter

The Nominated Voter will receive all information about Board nominations, voting processes, Annual General Meetings and Special General Meetings by email.

INCLUDED Association Liability and Volunteer Workers' Insurance

As part of your Regional Arts Victoria Organisation Membership you are eligible to apply for Association Liability and Volunteer Workers cover under RAV's master insurance policy. You will need to go to step 2 at the end of this form and complete your insurance details in GSA Insurance Broker's website to be covered.

Association Liability cover is essential to protect your organisations directors, office bearers and committee members in the incident of a claim for a wrongful act. Visit this page to learn more.

Personal Accident Insurance for Volunteer Workers protects volunteers and members of your organisation from expenses incurred due to injury sustained while engaged in official unpaid voluntary activities (this could even be during a meeting). Visit this page to learn more.

OPTIONAL Combined Liability Insurance (including Public Liability)

We offer Small Creative Organisation Members access to optional Combined Liability Insurance (including public, product and advertising liability cover) for an additional fee, calculated based on gross annual income.

See Combined Liability policy information here.

Would you like to add Combined Liability Insurance (inc. Public Liability) to your membership purchase?

YesNo

Organisation income range

Insurance fees are calculated based on your Gross Annual Income (GAI):

$275 (GAI Up to $5,000)
$440 (GAI $5,001 to $10,000)
$660 (GAI $10,001 to $20,000)
$990 (GAI $20,001 to $50,000)
$1,380 (GAI $50,001 to $100,000)
$2,300 (GAI $100,001 to $200,000)
$4,025 (GAI $200,001 to $500,000)
$4,200 (GAI $500,001 to $1M)

Organisations with Gross Annual Income over $1M are ineligible for Combined Liability Insurance.

Your reported Gross Annual Income from Page 1

$

By checking the below box I confirm that the above gross annual income information is true and correct. I understand that if this information is incorrect the organisation may not be covered for insurance claims related to the Regional Arts Victoria Combined Liability master policy. I understand that the insurance application is not complete until approved by GSA Insurance Brokers

I have provided true and correct information about the organisation's gross annual income.

Declaration

I confirm that the information I have provided in this form is true and correct, and that I am authorised to submit this information on behalf of my Organisation.

Full Name

Position

Date

Please use the Previous Page button or Page Number Navigation to review your form carefully prior to finalising.

► Click 'Submit Application Stage 1' to complete payment for your membership

► After payment you will be directed to Stage 2: Complete your insurance application (GSA website)

Thank you, we look forward to welcoming you as a RAV Member!

Circus	Community Arts
Craft	Cultural Development
Dance	Digital Media
Festival	Film
Jewellery	Literature
Multi-art form	Music
Performing Arts	Photography
Sculpture	Textiles
Theatre	Visual Arts
Writing	Other

Postal Address

Insurance fees are calculated based on your Gross Annual Income (GAI):

$275 (GAI Up to $5,000)$440 (GAI $5,001 to $10,000)$660 (GAI $10,001 to $20,000)$990 (GAI $20,001 to $50,000)$1,380 (GAI $50,001 to $100,000)$2,300 (GAI $100,001 to $200,000)$4,025 (GAI $200,001 to $500,000)$4,200 (GAI $500,001 to $1M)

Organisations with Gross Annual Income over $1M are ineligible for Combined Liability Insurance.

$275 (GAI Up to $5,000)
$440 (GAI $5,001 to $10,000)
$660 (GAI $10,001 to $20,000)
$990 (GAI $20,001 to $50,000)
$1,380 (GAI $50,001 to $100,000)
$2,300 (GAI $100,001 to $200,000)
$4,025 (GAI $200,001 to $500,000)
$4,200 (GAI $500,001 to $1M)