Australian Non-School Subscription
Account Holder Name
*
Phone Number
*
Example for a mobile number : 04 1234 5678
Email
*
example@example.com
Title/Designation
*
Organisation Name
*
Address
*
Street Address
Street Address Line 2
Suburb/Town
State / Territory
Postcode
User Type
Please choose the closest appropriate category from the available list.
*
Business/Corporate
Institution
Australian Industry
Education Sector
Government Sector
Other
Usage
How many staff are likely to use the Science ASSIST service?
*
It’s just me
2-5
6-10
>10
How did you hear about us ?
*
ASTA or Science ASSIST Website
Other Website
Social Media
Email or Flyer
Previous Member
Referral
Other
Contact for Accounts
Please enter the name, phone number and email address of the person responsible for financial accounts.
Name
*
Phone Number
*
Example for a mobile number : 04 1234 5678
Email
*
example@example.com
Title/Designation
*
Payment Options
Select only one
*
I will pay online
To pay for an item online you need to add the item to the shopping cart. Once an item is successfully added to the shopping cart you will see it appear in the shopping cart icon on the top right hand side of the screen. To finalise the payment you will need to go to the shopping cart by clicking on the shopping cart icon, enter relevant payment details and submit.
I need an invoice to pay
Please have Purchase Orders mailed to accounts@asta.edu.au
Australian Science Teachers Association | ABN: 87 902 882 824
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