APAS Associate Member Renewal

IMPORTANT: This form is for ACCOUNT CREATION and 2019 RENEWALS for 2018 APAS MEMBERS ONLY.

This is NOT an application for new membership (nor for returning ex-members prior to 2018).

Before renewing your membership please ensure you remain eligible per the criteria set out in the current APAS Constitution.

Enter the required information below to create your account AND pay your membership fees for 2019 as APAS Associate Member.

Username*

Password*

Retype Password *

First Name *

Last Name *

Primary Email *

Backup Email
(Recommended)

Organisation

Address *

Address2

City *

Postcode *

Country *

State *

Phone (Bus. Hours)

Mobile Phone
(Recommended)

DECLARATIONS

Member Type *

-- I was a 2018 financial member of APAS and am renewing for 2019

-- I have received notification from the APAS committee that my 2019 application has been approved

Eligibility *

-- I confirm my eligibility for 2019 APAS membership as per the current APAS Constitution.

Gov. Emp. No. (GEN) *

Comment

A Note on Payment Methods

We use the PayPal payment gateway for fast, secure payments. This allows credit card payments WITHOUT the need to open a Paypal account (by paying as a 'PayPal Guest'). If you do have a PayPal account you are also able to make your payment via direct bank transfer or Paypal account transfer. We also offer EFT payments as an alternative but this method incurs delays due to manual processing.

Payment Information

Price

Tax Amount

Amount

Payment Method *

Paypal/Credit Cards (does NOT require a PayPal account)

EFT Payment

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

APAS Associate Member Renewal

DECLARATIONS

A Note on Payment Methods

Payment Information

Key Contacts

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