Membership Application:
Student
Member
Personal Details
Surname (required)
Given Names (required)
Preferred Name (required)
Date of Birth (required)
(01/01/1970)
Gender (required)
Female
Male
Mobile Phone (required)
Email (required)
Residential Address
Residential Street Address (required)
Suburb (required)
State (required)
(ACT, NSW, QLD, VIC, SA, WA, TAS, NT)
Postcode (required)
Residential Phone
e.g. (please include area code) 0255559999
Attachments
Please provide the following:
Proof of Course Enrolment
(required | max. file size 2MB)
Note: By submitting your application online, you hereby agree to abide by the Articles, Rules, Code of Ethics and By-Laws of the Association and agree to the Association supplying your contact details to any Industry Partner, Corporate Member, Government or Non-governmental organization, working with the Association, for the purpose of circulating educative, training and industry information.
I Agree
Contact Information