Regional and Remote Institutional Membership Application Form

You are invited to renew or apply for our subsidised Institutional Membership of Educate Plus for an annual fee of $315 (excl GST). This subsidised Institutional Membership provides you with 5 full memberships (each additional member $100) and is subject to approval by the Chapter President and the CEO and will be reviewed annually.
  • International format
  • Member 1

    You can nominate up to 5 members as part of your institutional membership. Please provide details of each member below:
  • If 'Other' ticked, please include interest above.
  • Member 2

  • If 'Other' ticked, please include interest above.
  • Member 3

  • If 'Other' ticked, please include interest above.
  • Member 4

  • If 'Other' ticked, please include interest above.
  • Member 5

  • If 'Other' ticked, please include interest above.
  • Additional 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. Each additional member costs $100 (plus GST). Please add each members professional interests so that we can provide them with tailored information relevant to their role: Admissions, Alumni & Community Relations, Fundraising, Marketing & Communications or Events
  • NameWork TitleEmail AddressPhoneProfessional Interests 
  • 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.