Corporate Membership

Organisational Membership

To apply for membership on behalf of your organisation, please complete the registration form below and send the appropriate credentials (such as ACN, ABN, certificate of incorporation) and a statement as to why Corporate membership is being sought to memberships@amsa.asn.au.

Membership fees are payable annually.
For any queries regarding membership, please contact memberships@amsa.asn.au

Membership *

Corporate - $ 300.00

Library - $ 100.00

Please renew my membership automatically.

Total Amount

Email Address *

On Behalf Of Organisation

Organisation Name *

Phone (Main) *

Email (Main) *

Street Address *

City *

Post Code *

Country *

State/Territory *

Please enter a Username to create an account. You may use your email address, as a username. If you already have an account please login before completing this form.

Username *

Check Availability

Password

Confirm Password

Please re-type to confirm password.

Employee Details

Saluation

First Name *

Last Name *

Street Address *

City *

Country *

State *

Postal Code *

Phone

Mobile Phone

Credit Card Information

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Territory *

Post Code *

Organisation Extra details

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