WIA Membership Application

WIA Membership - Australian address only
  Full Membership One Year - $95.00
  Full Membership Five Year - $451.00
  Concession Membership * One Year - $80.00
  Concession Membership * Five Year - $380.00
  Full Time Student Membership One Year - $35.00
  Family Membership One Year - $36.00

WIA Membership - Overseas address
  Overseas Membership One Year - $105.00
  Overseas Membership Five Year - $500.00

* Concessional membership is only available to holders of a Commonwealth Concession Card.
* Student membership is only available to holders of a university student card noting full time or part time status,  full time or part time Vocational Education Training Students, High School or Primary School students  or Commonwealth NEIS scheme participants



All fields marked by * are mandatory.

Membership Details

ACMA Client ID/ Call Sign: *
Or I do not have a ACMA Client ID/ Call Sign:
Title:
Other Title:
First name: *
Preferred Name:
Last name: *
Gender: *
Date of Birth: *
RadDatePicker
RadDatePicker
Open the calendar popup.
Is the address an Australian address?   
Street Address: *  
City: *  
State: *  
Postcode: *    
Country: * AUSTRALIA
Postal Address same as Street Address

Phone Contact (at least one number is required)

Home Phone number:      
Work Phone number:      
Mobile Phone number:      

Your Email Contact

Email address: *
Confirm email address: *

Membership Options

Occupation:
Type of Membership: *