Membership Application
With this form you can apply for membership, renew your membership, support the cause of the AAPFA or update your membership details. Please always complete all fields.
Name
*
First Name
Last Name
E-mail
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Number
*
-
Area Code
Phone Number
Mobile Number
*
-
Area Code
Phone Number
Work Number
-
Area Code
Phone Number
Facebook profile
*
write 'none' if you are not on Facebook
Membership & Supporters
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New Membership, 1 year
$
100.00
AUD
Membership Renewal
$
79.00
AUD
Support AAPFA Campaigns
$
35.00
AUD
Update of membership details
$
Free
AUD
Total
$
0.00
AUD
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