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APPA Membership Application

Membership Type

Which membership category are you interested in?: *

Company Details

Street Address

Postal Address (if different to street address)

Contact Information

Company Ownership / Management

Company Profile

Your profile will be published in the APPA member directory.
JPG or PNG only

References

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.

Must be PDF, JPG or PNG only
Must be PDF, JPG or PNG only

Contacts for APPA Correspondence

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

Contact 1

Contact 2

Contact 3

Contact 4

Contact 5

Business Information

Have you previously held APPA Membership? *
Years Trading: *
What is your main reason for joining APPA? *
How many employees in your company? *
What is your annual turnover? *
How many offices or trading locations do you have? *

APPA Code of Conduct

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

Declarations

This application is submitted by