Public Libraries Australia Membership Application or Renewal Application (Invoiced)

Membership Application or Renewal

For invoiced payments
This application form is for those wishing to be invoiced for their membership.

If you prefer to apply pay online please click here
Name of person applying *

First Name Last Name
Name of organisation (if applicable)
Email *
example@example.com
Phone Number
Please enter a valid phone number.
Mobile Number
Please enter a valid phone number.
Mailing Address *

Street Address

Street Address Line 2

City State or Territory e.g. NSW, NT

Post Code

Membership Application or Renewal