Company / Business Name*

ABN/ACN*

Trading Name (if different from above)

Street Address*

City*

State*

Postcode*

Telephone*

Fax

Mobile

Email*

Website

Name of Business Owner*

Business Owner Position Held*

Name of Second Business Contact*

Secondary Contact Position Held*

Has this business or any other business owned by you (either now or previously) ever been reported to the ACCC?*
Yes
No

What area of the Industry are you involved in?*
Blinds & Awnings
Flags and Banners
Marine
Sailmaker
Motor Trimmer
GeoSynthetics
Shade Sail Installer
Shade Sail Fabricator
Supplier to the Industry
Other

What products do you manufacture, design or supply?*

Please select your membership category*
FABRICATOR - Construction/Manufacture from prepared components
SUPPLIER - Material/Component/Equipment/Services
ASSOCIATE - Individuals interested in ACASPA objectives who do not qualify for full membership
AFFILIATE - Person/Business who is a member of an Association Affiliated with ACASPA (Not applicable to current or past members of ACASPA)

Do you belong to any other industry associations?*
Yes
No

Applicants are required to be proposed and seconded by an ACASPA member. If you do not know of any members, please contact our office for assistance

Proposed by (Name)

Proposed by (Company)

Proposed by (Phone)

Seconded by (Name)

Seconded by (Company)

Seconded by (Phone)

Signature of Business Owner*

Signature Date*
January February March April May June July August September October November December

Password*

Verify password*

I agree to abide by the Statement of Purposes and rules of the Association and its Code of Ethics (link opens in a new window). I understand that should at any time any of the information supplied by me is found to be false/incorrect, my membership will be immediately withdrawn from the Association.

I certify that I agree to the terms&conditions