Join/Apply for Membership

Required fields are marked: This is a required field.

Account Type

Account Type This is a required field.

About account Types...

Payment Instalments This is a required field.

Account Login

Password This is a required field.

A strong password is required. Strong password required...

Confirm Password This is a required field.

Personal & Contact Details

Title

Given Name This is a required field.

Surname This is a required field.

Email This is a required field.

All membership emails, news, and administrative contact will be sent to this address

Other Email

Phone (BH) This is a required field.

Include area code

Mobile This is a required field.

Date of Birth This is a required field.

Date of Birth Date of Birth - Day Date of Birth - Month Date of Birth - Year

Primary Address

Address Type This is a required field.

In addition to a postal address, please provide an employer or home address in the "Other Address" section below.

Street Address This is a required field.

City/Town This is a required field.

State This is a required field.

Country This is a required field.

Postcode This is a required field.

Other Address

Address Type

Street Address

City/Town

State

Country

Postcode

Supporting Documents

Application for the student membership level requires proof of full time or part time student status. Please provide a scan of a current user ID card or other proof of student status. PDF or MS Word documents are allowed, up to 2 Mb in size.

Proof of Student StatusThis is a required field.

Drop file(s) here or click to upload.

Email Subscriptions

Mailing List Subscriptions

News & Updates ASORC Event Information Third Party Information National News

Preferred Email Format

Agreements

Correct Information

Correct Information Required Field I certify that all the information provided in this form is correct and I have no objection to the information being checked for accuracy. If this application is accepted, I agree to adhere to the constitution and by-laws and to the further objectives of the organisation.

Terms and Conditions

Terms and Conditions Required Field I have read and agree to the of membership.

Submit Form

Membership