Application for Membership of NULCA Australia

LOCATOR
This includes all sole traders, partnerships, companies and trusts.
Only one name can be supplied for voting rights.

SUPPLIER
This includes all suppliers of equipment and training for our industry.

ASSOCIATE
This includes any partner, staff member or anyone else in your organisation.

Interested Party
This includes asset owners, government departments and industry associations.

We have included the ability for Asset owners and Government departments to be involved for free, and have also given staff members and partners the opportunity to join as well. To be eligible for training discounts, you have to be a member. Therefore training discounts are not available for staff who are not associate members.

NULCA operates on a financial year membership, from 1st July to 30th June.

Rates

Locator	$375 + $50 joining fee
Supplier	$500 + $50 joining fee
Associate	$20
Interested Party	Free

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Membership Application Form

Type of membership required:	Locator Supplier Associate Interested party
Company:	* Required
First Name:	* Required
Surname:	* Required
Authorisation given for NULCA Australia to display details on web site?	No   Yes
Location (town, region, etc):
Area(s) of operation:	NSW Vic Qld Tas WA SA ACT NT New Zealand, North Island New Zealand, South Island Other
T-shirt size:
Contact Details
Business phone:
Mobile phone:
Web site:	http://
Email Address:	* Required
On mailing list?	No   Yes Receive email notifications of updated events and news items?
Postal Address
Address:	* Required
Town/Suburb:	* Required
State:	Not specified NSW Vic Qld Tas WA SA ACT NT New Zealand, North Island New Zealand, South Island Other  * Required
Postcode:	* Required
Where did you hear aboutNULCA Australia?	Not specified Google Training Other
Login details for this website
Desired Username:	* Required
Desired Password:	* Required
Re-enter Password:	* Required
Let's make sure you're not a robot...
Verification code:	* Required

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