Step Two Forum membership form

Organisation*

Postal address*

(This is where we'll send your membership pack.)

About you

Name*

Your position*

Main email address*

(This is where we'll send Forum correspondance to.)

Your phone*

Your chapter

Local chapter*

(Team membership can be split across multiple chapters.)

Sydney
Melbourne
Brisbane
Canberra

Confirmation*

Yes, I am directly involved in the support of my organisation's intranet

Agreement*

I understand that use of this application constitutes agreement with the policies of the Step Two Forum, as outlined in the membership agreement.

Membership level

Level and amount due*

(All figures are exclusive of GST)

Single membership -- $3,750.00 per year
Team (3) membership -- $6,750.00 per year
Team (5) membership -- $9,750.00 per year
Team (8) membershp -- $12,750.00 per year

Additional team members

Please provide details of team members who will also be attending Forum sessions (optional)

Additional team member (name & email)

2nd team member (name & email)

3rd team member (name & email)

4th team member (name & email)

5th team member (name & email)

6th team member (name & email)

7th team member (name & email)

8th team member (name & email)

Any other notes or comments?

Notes (optional)

Payment and completion

Payment method*

(If you choose credit card, you will be taken to our online store at the completion of this form.)

Credit card (Mastercard, Visa, Bankcard)
Please send me an invoice

Your entry to the Step Two Forum will commence once payment has been received and processed, and is valid for 12 months. For further details, contact Catherine Grenfell.

Name

This field is for validation purposes and should be left unchanged.