Regional and Remote Institutional Membership Application/ Renewal Form

You are invited to renew or apply for our subsidised Institutional Membership of Educate Plus for an annual fee of $300 (excl GST). This subsidised Institutional Membership provides you with unlimited full memberships and is subject to approval by the Chapter Committee and the CEO and will be reviewed annually.
  • International format
  • Member Details

    Please include member names and contact details below. To add additional members, please hover mouse to right of 'Phone' field. Click to add row.
  • NameWork TitleEmail AddressPhone 
  • Institution's leaders name and title information

    To ensure our records are current, pleases list your Institution's leaders name and title.
  • Invoicing

    Once received an invoice will be drawn up and emailed to you. Click on submit below to complete registration.