Resignation form

To resign your membership of depa, fill out this form and press 'submit'.

Full Name(*)

Please type your full name.

Number & Street(*)

Invalid address - please type house number and street

Suburb Postcode(*)

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E-mail(*)

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Work Telephone

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Home Telephone

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Job Title

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Current Employer(*)

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Reason for resignation

RetirementLeaving local government

Financial reasonUnhappy with depa

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Other reason

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Date of Resignation(*)

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(*) Mandatory field

I wish to resign from my membership of The Development and Environmental Professionals' Association. I understand that this resignation will take effect from the date I specified above.

Declaration(*)

I agree to the above statement and wish to resign from depa. Please tick to confirm

Membership Resignation Form