APPA Membership Application - Free Offer

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

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
Free APPA Membership Offer Terms and Conditions

The APPA Membership Offer is subject to the following terms and conditions:
- Our free membership will exclude voting rights at the AGM and Director Elections.
- Our free membership does not entitle use of the APPA logo to promote our free membership.
- Our free membership limits us to one Dispute Resolution Procedure under the Code of Conduct.
- We will not make copies of any APPA member contact details and APPA resources.

APPA Code of Conduct

Please read the APPA Code of Conduct available at

This application is submitted by