Membership Application Form

Title:
Honorary Title:
First Name:
Last Name:
Profession:
Date of Birth:    
Is the address an Australian address?   
Street Address:  
City:  
State: *  
Postcode:    
Country: AUSTRALIA
Postal Address same as Street Address

Business Details:

Business name (if applicable):
Is the address an Australian address?   
Street Address:  
City:  
State:  
Postcode:    
Country: AUSTRALIA
Postal Address same as Street Address
Preferred billing address:
Business phone:        
Mobile phone:        
Fax number:        
Preferred to be contacted by:
Pref. Email address:
Confirm email address:
Website address:
Include my details in the online Membership directory:
Select your Membership: What Membership Level Can I apply For?
Select your Membership Period:

Attach additional information to provide proof of your Qualifications (maximum of two files) to assist SASMA to consider your application promptly. Valid file extensions include: .doc, .odt, .docx, .pdf, .jpg, .jpeg, .bmp, .png, .gif.

Upload files: (Maximum 2 files)
 
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