Australian Membership

Fill in the electronic form below, and click the submit button to forward your application to the society. Please forward a cheque representing payment for your membership for the period 1 July 2008 to 30 June 2009 to:

The Secretariat
I.P.S.A.N.Z
G.P.O. Box 2491
Melbourne Vic. 3001

A.R.B.N. 056 252 558
A.B.N. 66 056 252 558

Australian Membership Application Form

Name:
Preferred Title:	Prof. Dr. Mr. Mrs. Miss. Ms.
Business or Firm Name or Name of Institution:
Year of First Joining Society:
Business DX No. and Centre (if applicable):
Postal Address (Work):
Telephone BH:
Facsimile BH:
Email Address:
Membership Category:	Ordinary Member A$140.00 p.a. (incl $12.73 GST) Technical Assistant A$115.00 p.a. (incl $10.45GST) Bar Reader A$115.00 p.a. (incl $10.45 GST) Articled Clerk A$115.00 p.a. (incl $10.45 GST) Academic A$115.00 p.a. (incl $10.45 GST) Retired  A$115.00 p.a. (incl $10.45 GST)
TAX INVOICE A.B.N. 66 056 252 558 Cheques To: “The Intellectual Property Society of Australia and New Zealand Inc.” OR  For payment by Credit Card, please print and complete membership application OR A renewal of membership application and return by fax/post to I.P.S.A.N.Z G.P.O. Box 2491 Melbourne Vic. 3001 (61 3) 9722 2899: Click submit button below to join the Society. By clicking submit you agree to be bound by the Rules of the Society. Click here to review the Rules of Membership

Membership will not be valid until cheque is received.
DON'T FORGET TO SEND IN YOUR CHEQUE.

For members outside Australia and New Zealand, the membership fee is A$185.00