Academic Associate Membership Application Step 1 of 2 50% Are you an individual educator or post graduate retail student? Complete this membership application form to purchase an Academic Associate membership.Educational institutionABNBilling address(Required) Street Address Address Line 2 City Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia State Postcode Street address(Required) Same as billing address Street Address Address Line 2 City Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia State Postcode PhoneAcademic Role(Required)Describe your academic role as it applies to the Academic Associate Membership criteria Your details You as the primary contact will be responsible for administering membership and updating details and invoices.Name(Required) First Last Job title(Required)Email(Required) Password(Required) Enter Password Confirm Password Passwords must have: a minimum length of 8 characters at least 1 lowercase letter at least 1 uppercase letter at least 1 number Mobile phone(Required)
