Employer's address

Home address

I am interested in the membership category indicated below:

(Details of the booth size, floor plan and rental rates will be sent to you later for your approval. If unacceptable, your $1,000 Joining Fee will be refunded to you in full.)

In the event that my application is declined by the Membership
Committee, I understand the above A$1,000 Joining Fee will be refunded
to me in full.