All information provided is CONFIDENTIAL.

The Membership year is 1 July to 30 June.

AMTIN operates a Pro-Rata fee structure for members that join during a membership year.

Membership eligibility is limited to SMEs operating in Australia as manufacturers or distributors in the medical / Medtech sector, with an annual turnover of less than AUD $50 million.

Final decisions regarding membership eligibility and acceptance are at the sole discretion of the AMTIN Management Committee. You do not become a member until invoiced funds have cleared in our account.

NOTES

Instructions:

1. Complete all required (*) fields. Type directly into the boxes.

Who can and cannot be a Member

• Individuals, Brands, divisions and “trading names” cannot be Members
  
  MEMBERS - The details supplied (legal name, ABN, entity type) must match the Australian Business Register.
  
  
• Sole Trader with an ABN - The Member will be [Full legal name] [ABN] trading as [Business name].
• If a Trust or Partnership is listed, more details may be required to approval membership.
• Franchises: Each franchisee ABN applies separately unless a Group arrangement is pre‑approved by the Management Committee
• Contracting on behalf of subsidiaries: A Single‑Entity membership DOES NOT cover, subsidiaries unless approved by the Management Committee – additional membership fees may apply
  
  Member transfer information
  
  
• Membership is not transferable to another ABN without prior written approval of AMTIN.
• Division or brand joins: Membership sits with the legal entity behind that brand; if the brand is sold to a new ABN, membership does not automatically transfer.
• Restructures: If the Member changes ABN due to merger or demerger, the Association may approve a substitution of the Member on application, with any fee true‑up based on Assessable Revenue of the successor entity.

Please review this page
before completing the next page about your Revenue Range.

Calculating Revenue

Assessable Revenue means the total revenue recognised on an accrual basis using Management Accounts (audited figures are not required), exclusive of Goods and Services Tax (GST) and any other sales taxes, for the period to 30 June for the member’s Australian operations.

Assessable Revenue excludes: finance income, gains on disposal of assets, insurance recoveries, grants and donations not earned from customer contracts, unrealised fair‑value gains, extraordinary or non‑recurring items.

Multi-entity rule: Where a corporate group has multiple Australian entities, Assessable Revenue is the aggregated revenue of the included entities, with intra group sales/transfers excluded.

Relative New or Start ups or Pre-Revenue: If there is little or no trading history (for example, a start-up or new entrant to the Medical Manufacturing and/ Distribution  line of business), use a good faith twelve-month reasonable forecast value.

Declaration & Signature: Declaration: Information provided is true and meets the SME Criteria for Network inclusion including AMTIN rules, Code of Ethics.

Acknowledgement: Final decision on membership of the AMTIN group rests solely with the Board of AMTIN.

After Signature on the next page – Hold Left Mouse Down to sign.