Associate Membership Application

Associate Membership Application Form

Associate Membership signup

Business Name

First Name

Last Name

Position / Role

Business Address

Address Line 1

Address Line 2

City

Zip Code

Country

Phone/Mobile

What sort of business are you running?

Reason for Joining?

Associate Membership Fees

The membership period is 1 July – 31 June. Fees will be prorated starting on the 1st of the month following membership commencement.

I wish to pay: (tick box)

Annually $300 +GST

Monthly $30 +GST (Auto payment)

Acknowledgement

I confirm that I consent to being a member of the Society under the Incorporated Societies Act 2022.

I agree to be bound by the Society’s constitution and rules, as amended from time to time. A copy of the constitution is available on request.

I understand that membership continues until I resign in writing or otherwise cease to qualify under the rules and that my membership may be terminated.

(For organisations) I confirm I am the authorised representative for the above-named organisation.