MEMBERSHIP APPLICATION

Your business and its success is of vital importance to us. We need to understand your business in order to help you.

Please complete as much detail as possible and either:
    Submit the application online, or
    Print and fax the application to your closest state office
Membership Details
Details with an * will be published in your Trade Directory listing.
All fields in Red are required

Corporate Information
Registered Company Name
Trading Name *
A B N
Number of Employees *
Postal Address *
Suburb *
State *
Postcode *
Web URL *
Company Switchboard *  (Please include area code)
Company Fax *  (Please include area code)
Company Industry
Primary SIC *
Australian CEO Information
Name *
Job Title *
Telephone Switchboard or PA  (Please include area code)
Mobile
Email
USA CEO Information (if applicable)
Name *
Job Title *
Nominated Representative Main contact for membership.
Name *
Job Title *
US Interest
Telephone  (Please include area code)
Fax  (Please include area code)
Mobile
Email
Your Business
Do you have commercial links with the USA?
Where is your firm incorporated?
The percentage of USA ownership in your firm
(if any)
Is your company involved with:
From which markets?
Do you have offices in other states?
Description of your business
and its products *
MAXIMUM OF 50 WORDS
Membership Type