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Membership Application
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Name of Company
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Contact Person First Name
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Contact Person Last Name
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Your Position within the Company
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Email
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Contact Number
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Address
Invoice address is same as address listed above
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Industry the Company is operating in
Year the Company was Founded
Approx. turnover in AUD
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I am/We are interested in a membership
Corporate Member
Cluster Member - Energy
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Cluster Member - Mining and Resources
Platinum Partner
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The Company is a...
Rising Star (founded in the last three years; subsidiaries excempt)
Mittelstand Hero (annual turnover of less than $50 million))
Global Champion (annual turnover more than $50 million))
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