AU Institution Membership

AU Institutional Membership Application Form

You are invited to renew or apply for Institutional Membership of Educate Plus for an annual fee of $1040 (excl GST). Institutional Membership provides you with 5 full memberships. Full member benefits may be gained for additional Members by payment of $100 (excl GST) per person. This fee will allow the full range of member benefits and can only be taken up as an add-on to Institutional Membership.

Account Contact Name*
First Last
Contact Email*
Contact Phone*
International format
Institution Name*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Details of full membership nominees
Details of 5 full membership nominees ($1040 excl GST) An appointed representative should complete this form on behalf of their Institution.
Member 1
Name
First Last
Position/ Work Title
Email
Phone
Professional Interests
- Alumni
- Marketing & Communications
- Admissions
- Fundraising
- Events & Community Relations
- Other
Please add each members professional interests so that we can provide them with tailored information relevant to their role.
If 'Other' has been selected please include information below:
Member 2
Name
First Last
Position/ Work Title
Email
Phone
Professional Interests
- Alumni
- Marketing & Communications
- Admissions
- Fundraising
- Events & Community Relations
- Other
Please add each members professional interests so that we can provide them with tailored information relevant to their role.
If 'Other' has been selected please include information below:
Member 3
Name
First Last
Position/ Work Title
Email
Phone
Professional Interests
- Alumni
- Marketing & Communications
- Admissions
- Fundraising
- Events & Community Relations
- Other
Please add each members professional interests so that we can provide them with tailored information relevant to their role.
If 'Other' has been selected please include information below:
Member 4
Name
First Last
Position/ Work Title
Email
Phone
Professional Interests
- Alumni
- Marketing & Communications
- Admissions
- Fundraising
- Events & Community Relations
- Other
Please add each members professional interests so that we can provide them with tailored information relevant to their role.
If 'Other' has been selected please include information below:
Member 5
Name
First Last
Position/ Work Title
Phone
Email
Professional Interests
- Alumni
- Marketing & Communications
- Admissions
- Fundraising
- Events & Community Relations
- Other
Please add each members professional interests so that we can provide them with tailored information relevant to their role.
If 'Other' has been selected please include information below:
Details of additional members
Please include details of additional members in the table below. To add more members hover to the right of the 'Category' section of the table until 'Add another row' appears, click to add another row.
Name Work Title Email Address Phone Professional Interests

* Each additional member $100 plus GST
Institution's leaders name and title information
To ensure our records are current, pleases list your Institution's leaders name and title.
Name
First Last
Title
Email
Invoicing
Once received an invoice will be drawn up and emailed to you. Click on submit below to complete registration.

*Please note:

Members are not required to take out Institutional membership (although this is encouraged) Individual membership options remain.

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Name	Work Title	Email Address	Phone	Professional Interests

AU Institution Membership

AU Institutional Membership Application Form

Details of full membership nominees

Member 1

Member 2

Member 3

Member 4

Member 5

Details of additional members

Institution's leaders name and title information

Invoicing

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