Organisation (Australia) Subscription

Please enter information on the form below to process subscription for Organisation (Australia).

Username*

Password*

Retype Password *

Senior staff member / CEO

Note: each AES organisational plan includes 1 voting membership. Please enter the details of this member below. This person must accept the AES Code of Ethical Conduct, and should have a high probability of attending AES events including the conference.

Email *

Title

First Name *

Last Name *

Staff Position *

Address for correspondence

Address *

Address2

City *

Postcode *

Country *

State *

Mobile *

Phone (Business)

Organisation Information

Organisation type *

Australian Federal Government agency - $745 incl GST

Australian State Government agency - $745 incl GST

Academic department - $745 incl GST

Research Institute - $745 incl GST

Community based not for profit - $745 incl GST

Association not for profit - $745 incl GST

International NGO - $745 incl GST

Indigenous managed community organisation - $450 incl GST

Registered name of organisation *

Trading name (if different)

ABN/NZBN

Head Office

Address *

City

State / Region *

Postcode *

Country *

Website

Executive Authorisation

Note that this must be obtained before the membership form can be processed.

CEO/Executive approval of this application *

Yes

Exec Contact Name *

Exec Contact Position *

Exec Contact Phone *

Exec Contact Email *

Secondary contact (financial, administrative support or other )

First Name *

Last Name *

Position *

Phone *

Email *

Secondary Contact Address

Address

City

State

Country

Payment Information

Coupon

Price

Discount Amount

Tax Amount

Total Amount

Payment Method *

Offline Payment

Credit Card (Stripe)

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Credit or debit card*

We acknowledge the Australian Aboriginal and Torres Strait Islander peoples of this nation. We acknowledge the Traditional Custodians of the lands in which we conduct our business. We pay our respects to ancestors and Elders, past and present. We are committed to honouring Australian Aboriginal and Torres Strait Islander peoples’ unique cultural and spiritual relationships to the land, waters and seas and their rich contribution to society.

Membership