Membership Application Online Form

Please provide your work address and your primary email account, being the account you use for work.

Please note that your address and contact details will only be available to Play Australia staff to view and will not be visible to the public or shared with any third party.

Email *

First Name *

Last Name *

What is the name of your workplace or service? *

What is your Job Title?

Street Address (Work) *

City (Work) *

State (Work) *

Postal Code (Work) *

Landline

Mobile

By submitting this form you are applying for PAID MEMBERSHIP

Our membership Structure and Fees can be seen on this page.

Once received our ED Barb Champion will determine what membership category is the best fit and an INVOICE will be sent.

If you are wishing to become a Play Australia Supporter or Subscriber and not a financial member, please SIGN UP here to our PLAY TODAY campaign to be sent fortnightly PLAY eNews updates.

Thankyou for your interest in PLAY!

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