Personal Membership Application / Renewal

Contact Information
Personal email*
example@example.com
Professional email*
example@example.com
Preferred contract email*
Phone:
example: 03 9100 9100
Mobile*
example: 0400 000 000
Personal Mailing address
Address*
This field will appear as entered on your record
City*
This field will appear as entered on your record
State*
This field will appear as entered on your record
Postcode*
By completing and submitting this form you agree to pay the associated membership invoice according to IPAA Victoria's payment terms and conditions.

If you do not receive an email with your membership invoice within 24 hours of submitting your membership renewal, please email membership@vic.ipaa.org.au.

Payment Information

Please Select One Membership Option. VISA or Mastercard only accepted. All amounts Inclusive of GST.

Personal memberships*

Professional Membership$260.00AUD

For professionals with more than 7 years of experience.

Concession Membership$100.00AUD

For full-time and part-time students, professionals with less than 7 years of experience and retired professionals.

Total $0.00AUD

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Contact Information