NAWIC Membership Application Form

Please note Our Membership year runs from July to June. All new membership applications will automatically pro-rata based on the following:

As of 1 January, Membership rates will be 50% pro rata of the fees listed
As of 1 April, Membership rates will be 25% pro rata of the fees listed, but charged as 125% to carry through to the end of the following membership year.

This is only eligible to NEW MEMBERS ONLY.

Provide Membership Details

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Prefix

First name

Middle name

Last name

Organization

Phone

Mobile phone

Country

Address

City

State

Postal code

Username

Password

Confirm password

The password must be at least 7 characters long.