QSEC Membership Form - Social Enterprise

Select your annual membership tier:*

Associate Start-up

For businesses in their early stages of trade, with a turnover under $500K per annum.

$150.00AUD

Associate Scale-up

For businesses in the scale-up stage, where turnover is between $500K and $2M per annum.

$250.00AUD

Associate Tier 1

For businesses where turnover is between $2M and $5M per annum.

$350.00AUD

Associate Tier 2

For businesses where turnover is between $5M and $10M per annum.

$500.00AUD

Associate Tier 3

For businesses with a turnover of $10M+ per annum.

$750.00AUD

Enter coupon

Subtotal

$0.00AUD

Tax

$0.00AUD

Total

$0.00AUD

You will be billed annually as a recurring payment via Stripe. You may cancel at any time.

Organisation Name: *
ABN:*
Registered ABN for your business
Organisation email:*
example@example.com
Organisation Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Registered Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Website:
URL
Company LinkedIn:
URL
Instagram:
URL
Facebook:
URL
Primary Contact:*

First NameLast Name
Pronouns:
Role:*
Email address:*
Email of the primary contact
Phone Number:*
Contact number of the primary contactFormat: 0000-000-000.
YesNo
Personal LinkedIn URL:
URL

How did you first hear about us?*
YesNo
Full name of the person who completed this application form:

First NameLast Name
Should be Empty:

Membership Application - Associate