Affiliate and associate membership sign up form

Please fill in this form to sign up your organisation as an Affiliate and Associate AMaGA member.

If you have an existing account with us, or are unsure,please contact us.

Organisation name

Required Field

Organisation email

Please provide valid email

Organisation phone

Required Field

Organisation website address

Please provide valid url

Please enter the postal address for your organisation, this is theaddress your stickers and membership cards will be sent to.

Country

Required Field

Address

Required Field

Required field

City

Required Field

State/territory

State/territory/province

Postcode

Required Field

Please select which category best suits your organisation.

AffiliateAssociateCategory

Required field

Organisation representative

This person is the primary contact for all things membership. Please note you can sign upmultiple emails to receive newsletters once you'vecreated an account.

First name

Required field

Last name

Required field

Personal work email

Please provide valid email

Business unit email

Please provide valid email

Directorate representative

First name

Required field

Last name

Required field

Personal work email

Please provide valid email

Business unit email

Please provide valid email

Membership/friends contact

First name

Required field

Last name

Required field

Personal work email

Please provide valid email

Business unit email

Please provide valid email

Visitor services contact

First name

Required field

Last name

Required field

Personal work email

Please provide valid email

Business unit email

Please provide valid email

Marketing/tourism contact

First name

Required field

Last name

Required field

Personal work email

Please provide valid email

Business unit email

Please provide valid email

Publications contact

First name

Required field

Last name

Required field

Personal work email

Please provide valid email

Business unit email

Please provide valid email

Finance contact

First name

Required field

Last name

Required field

Personal work email

Please provide valid email

Business unit email

Please provide valid email

Human resources contact

First name

Required field

Last name

Required field

Personal work email

Please provide valid email

Business unit email

Please provide valid email

Organisation login details
You will be given a membership number when you sign up, thiswill also be your username.

Invalid username

Password

Password must be at least seven characters long

Confirm password

Password and Confirm Password must match

Affiliate and associate membership sign up form

Organisation representative

Directorate representative

Membership/friends contact

Visitor services contact

Marketing/tourism contact

Publications contact

Finance contact

Human resources contact

Membership

Contact Us