ACT Affiliate membership for current or former NACT members

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ACT Affiliate Advocate membership pro-rata dues are calculated to 30 April 2024 - $127.50 (not available in this currency) *

First name(s) *

Preferred first name (if different to above)

Middle name(s)

Surname or family name *

Post nominals

Date of birth

Contact information - please note that we need at least one email address in order to process your application

Company email address

Home email address

Contact telephone number *

Preferred email address for correspondence *

Preferred address for invoicing *

Company details

Company name *

Job title *

Address details - please note that we need at least one address for invoicing/receipt purposes

Company address 1 *

Company address 2

Company address 3

City or Town

State or region *

Post code or zip code *

Country *

Personal correspondence details - optional

Home address 1

Home address 2

Home address 3

City or Town

Post code/Zip code

State or region

Country

Declaration I apply for membership of the ACT. I confirm that I have read and agree to comply with the ACT’s regulations and Ethical Code.

Data protection
All or part of the information provided by you will be used in accordance with our Privacy Policy for administration of your membership and to keep you up to date with your membership activities. You can edit your contact preferences at any time by logging into your ACT account.

Online Members Directory
One of your benefits as a member is access to and inclusion in the online member's directory. Directory records include, as standard, your name and current employment details. You can also choose to add in personal contact details if you wish.

Tick here if you do not wish to be included in the directory

Tick here to include the following home contact details in the directory:

Mobile

Home telephone

Home email

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ACT Affiliate membership for current or former NACT members