Membership of the Australia Papua New Guinea Business Council

Name of Company

Nature of Company/Business

Postal Address Postal Address

Address

Town/City

State

Postcode

Country

Street Address Street Address Same as above Different

Address

Town/City

State

Postcode

Country

MEMBERSHIP CATEGORY MEMBERSHIP CATEGORY Full Member ($2550 per annum including GST) Associate Member ($675 per annum including GST)

Member's Representative to the Council Member's Representative to the Council

Honorific

First Name

Last Name

Position

Email Address

Telephone Telephone

Country/Area Code

Number

How did you learn of the council? How did you learn of the council? APNGBC Event Business Colleague Website Social Media Advertisement Other

If others, please specify