Membership form
(bold fields
* are required)
Once your receive a membership approval confirmation, you will be able to edit your profile by clicking on the 'Modify' link in the Members area.
name, city/country, discipline and CV are listed
please do not CAPITALISE entire words
|
 |
|
Login Name*
|
|
|
Prefix (optional)
|
|
|
First Name *
|
(or business name - only if business member)
|
|
Last Name*
|
(or Pty Ltd - only if business member)
|
|
Email*
|
|
|
Address
(include suburb/municipality here) |
|
|
City* (Montevideo, Melbourne,
Perth, Rabat...)
|
|
|
Postcode
|
|
|
State or province or region
|
|
|
Country*
|
|
|
Phone
|
|
|
Birth Day
|
|
|
Birth Month
|
|
|
Birth Year
|
|
|
Gender
|
female
male
|
|
Professional area of work/study*
|
|
|
Would
you like to contribute to arch-peace?
|
|
|
Please write your comments
|
|
|
Your areas of interest? e.g. housing, policy ...
|
|
|
Your homepage URL (please include http://)
|
|
|
Where
did you find about arch-peace?
|
|
|
Are you a business member?
|
(checked = yes - only
for business members)
|
|
Do you need our bank account details?
|
|
Annual membership donation* (membership types)
|
AU $35 - member
AU $15 - student member
AU $0 - affiliated (poorer countries)
AU $190 - business
member
|