Please complete a registration for EACH member
First Name*
Last Name*
Email*
Company*
Mobile #*
Membership Commencement Date *
Membership Type* Virtual $60.00 + GST per monthPart-Time $200.00 + GST per monthFull-Time $400.00 + GST per monthMy Desk $500.00 + GST per month
Card Number*
Card Type*
Expiry Date *
CCV *
Signature Date *
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