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AUSMEPA Annual Membership, Corporate Sponsorship, Ship
Membership and Public Donation Form

Compulsory fields are highlighted by an asterix ( * )

Membership Type

Individual Membership - $ 55 (Includes GST $5)
Gold Corporate Sponsorship - $5,775 (Includes GST $525)
Silver Corporate Sponsorship - $ 2,887.50 (Includes GST $262.50)
Bronze Corporate Sponsorships - $ 1,210 (Includes GST $110)
Ship Membership - $ 1,155 per ship (Includes GST $105.00)
Donation to AUSMEPA Public Fund - $

Your Details

Name  *
Organisation
Postal Address  *
Telephone  *
Mobile
Email  *
 

All donations to the Public Fund are fully tax deductible.
An official receipt will be issued to you.