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Membership Application
Member application form
Section 1. User Information
Salutation
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Mr.
Mrs.
Ms.
Miss
Dr.
Prof.
Hon.
First Name
Last Name
Gender
---
male
female
non-binary
not listed here
rather not say
Email
Password
Confirm password
Position Title
Company
ABN (if applicable)
Industry
---------
Aged Care
Agriculture/Rural
Biotech
Building/Construction
Chemicals/Allied Products
Cleaning
Consulting/Contracting
Communications Systems
Defence/Military
Education/Training
Electrical
Emergency Services/Law Enforcement/Security
Engineering Services
Environmental Services
Finance/Banking/Insurance/Legal
Food Industry
Government
Health/Medical Sciences
Hospital
HVAC
Instrumentalities (Eg CSIRO)
Information Technology
IT - Networking
IT - Security
IT - Storage
IT - Wireless
Landscaping Services
Laboratory - Analytical
Laboratory - Life Sciences
Logistics/Transport/Warehouse
Manufacturing
Mining
Oil/Gas/Coal
Packaging
Pest Control
Pharma/Biopharma
Plumbing
Processing
Retail/Wholesale/Hire
Service/Maintenance
Student
Telecommunications
Testing/Certification (eg NATA)
Travel/Tourism
Utilities
Other
Not Set
Phone
Address
Address2
City
State
Postcode
Country
Australia
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Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (the Democratic Republic of the)
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
URL
Section 2. Membership Information
Referral Source
Referrer Email (if applicable)
Section 3. Membership Type and Payment
Membership Type
Associate Member - $0.00
Professional Member - $110.00
Payment Method
Credit Card (via Stripe)
Allow Auto Renew (only if credit card payment is selected)
Section 4. Agreement
I agree to ITPA Code of Ethics
To become a member of ITPA you must agree to follow the ITPA
code of ethics
in your professional career
Type the code below
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