APPA Membership Application

Name of legal business entity: *

ABN or NZBN: *

Trading Name (if applicable):

Street: *

Suburb: *

State or Region: *

Postcode: *

Country: *

Street or PO Box:

Suburb:

State or Region:

Postcode:

Country:

Email: *

Telephone (incl. area code): *

Mobile Phone:

Company Directors (provide a full list of company directors): *

Please provide a company profile (250 words or less): *

Your profile will be published in the APPA member directory.

Please attach your company logo: *

JPG or PNG only

Website:

Social Media links including LinkedIn profile of directors (if applicable):

The following financial APPA members (existing members only) certify that the Applicant enjoys a good reputation within the industry and the applicant is professionally known by them.

Note: if applying for a Supplier membership, the two referees must be from Distributor members and if applying for a Distributor membership, the two referees must be from Supplier members.

APPA Member Referee 1 Business Name: *

APPA Member Referee 1 Written Reference: *

Must be PDF, JPG or PNG only

APPA Member Referee 2 Business Name: *

APPA Member Referee 2 Written Reference: *

Must be PDF, JPG or PNG only

Please list the staff in your business that should receive APPA correspondence.

First Name:

Last Name:

Position:

Email:

First Name:

Last Name:

Position:

Email:

First Name:

Last Name:

Position:

Email:

First Name:

Last Name:

Position:

Email:

First Name:

Last Name:

Position:

Email:

Main product lines? (Suppliers only):

Please read the APPA Code of Conduct available at https://www.appa.com.au/appa-code-conduct.

I/We confirm that we have read and agree to uphold the APPA Code of Conduct. *

I/We agree to be bound by APPA’s Constitution and any other by-laws created by the Board from time to time, including the APPA privacy policy, both of which are made available at appa.com.au. *

I/We understand that our application is subject to the approval of the Board of Directors of the Association whose decision shall be final. *

I confirm that the owners/director’s consent to this APPA membership application. *

As a supplier, we confirm that we offer wholesale pricing for promotional product distributors (Suppliers Only).

Full Name: *

Position: *

Contact Email: *

Contact Phone: *

APPA Membership Application

Membership Type

Company Details

Street Address

Postal Address (if different to street address)

Contact Information

Company Ownership / Management

Company Profile

References

Contacts for APPA Correspondence

Contact 1

Contact 2

Contact 3

Contact 4

Contact 5

Business Information

APPA Code of Conduct

Declarations

This application is submitted by

Member Login

APPA Membership Application

Membership Type

Company Details

Street Address

Postal Address (if different to street address)

Contact Information

Company Ownership / Management

Company Profile

References

Contacts for APPA Correspondence

Contact 1

Contact 2

Contact 3

Contact 4

Contact 5

Business Information

APPA Code of Conduct

Declarations

This application is submitted by