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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

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.

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