Affiliate Membership Application

Primary Contact Details

Please enter the contact details of the Primary Contact for your organisation. This will be the person who membership communications will be sent to, such as membership renewal reminders and invoices.

Billing Address


Affiliate Membership Category Fee


Affiliate Memberships are for individuals (aged 18 years or over) and organisations not directly involved in knowledge commercialisation, but who are associated or work closely with organisations directly involved in knowledge commercialisation.

All Affiliate Memberships are non-voting memberships.

AMOUNT
2,500.00
TOTAL

AMOUNT
2,250.00
TOTAL




Summary

Terms and Conditions



Payment


Thank You

Your membership application has been received. You will be notified shortly if it has been approved. If you have any questions, please contact

KCA National Office
Suite 1, 1 Smith Street
Fitzroy VIC 3065
P: 03 9416 3833
E: admin@kca.asn.au

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