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Please complete this short survey to go into the selection process for the Co-op Board

The Co-op is committed to local democracy.

The Co-op currently has seven Board members: up to five elected by the membership and at least two selected by sortition i.e. random selection.

If you are interested to be part of the random selection for the Co-op Board please complete this short registration form.

If you aren’t interested or available simply close this form now.

Please note: people in paid political employment are not eligible to nominate for one of the randomly selected positions on the Board.
1.I am interested in being part of the Kyneton and District Town Square Co-op Ltd's Board(Required.)
2.I am also happy to be added to the Co-op Sortition list for future vacancies on the Board(Required.)
3.What is your first name?(Required.)
4.What is your last name?(Required.)
5.How can we get in contact with you?(Required.)