APPA Membership Application

Membership Type
Company Details
Street Address
Postal Address (if different to street address)
Contact Information
Company Ownership / Management
Company Profile
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.

Please upload your written reference

Please upload your written reference

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
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