Student Form

ACO STUDENT MEMBERSHIP FORM
Name*

First NameLast Name
Date of Birth:

MonthDayYear
Date
University:*
Final Year:*
Year you are expected to graduate
Degree:
Email*
*personal email only
Mobile Number

Area CodePhone Number
Postal Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tell us briefly why you want to become an student Member:
I consent to the ACO collecting and storing my personal information for the purpose of administering my membership and providing ACO related services to me (unless I have “opted out” by contacting the Membership team).

Note: Student membership does not carry voting rights.
Publication
Signature

Clear
Date

MonthDayYear
Date
For more information contact us on

Email: membership@aco.org.au or Phone: (03) 9349 7578
Should be Empty:

ACO STUDENT MEMBERSHIP FORM