C4M Membership Form Please complete your details below and we will be in contact to set up your C4M membership. Please enable JavaScript in your browser to complete this form.Name *CompanyPositionStreet AddressSuburbPost CodeEmail *Contact Phone Number *Company's Website AddressMembership Type *$2,000 Large Enterprise$1,000 Medium Enterprise$250 Small Business$100 Associate or Community GroupApply First Year Membership DiscountI agree to my company’s name appearing on a public list of members and Committee for Maryborough website:I am authorised by the aboved mentioned business to apply for membership with the Committee for Maryborough.Submit