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ACCAN
Organisational Membership
Renewal

Do you wish to renew your organisational membership
Yes
No
I wish to be contacted about organisational membership renewal
Organisational Membership Fees: Please select one.
Annual income under $25,000: $27.50
Annual income between $25,000 - $50,000: $44
Annual income between $50,001 - $200,000: $88
Annual income between $200,001 - $1,000,000: $154
Annual income between $1,000,001 - $2,000,000: $220
Annual income over $2,000,001: $275
I wish to seek a fee waiver
State/Territory
Please nominate the type of membership that applies to your organisation:
Voting (only organisations that are Not for Profit, non-party political, and not part of the telecommunications industry are eligible to vote as per the ACCAN constitution)
Associate / Non-voting (suitable for all others)

Only Voting Member Organisations must nominate a Voting Delegate and Deputy Voting Delegate as their representatives to ACCAN. Mail will be sent to the Voting Delegate unless special arrangements are made with ACCAN.

VOTING DELEGATE CONTACT DETAILS

State/Territory

ADMIN CONTACT

Use this to provide contact information for another person in your organisation who is not a delegate.

Preferred contact method

As Director / CEO / other authorised person, I certify that the above information is correct.

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