Australian Automotive Aftermarket Association
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Join the AAAA
Welcome to the Australian Automotive Aftermarket Association Membership application.

This form uses the 'Secure Sockets Layer' protocol to encrypt and protect your personal information. (Note: you should see a closed lock icon at the bottom of your browser)

To apply for membership you can:

  1. Fill out the form below and click the submit button. We will call and confirm as soon as possible.
  2. Print this form and fax to us on 03 9561 7066 (country prefix 61)
  3. Phone with your details on 03 9561 7044
  4. Post details to Suite 5, 622 Ferntree Gully Road Mulgrave, Victoria 3170 Australia
New Member Details
1 Name
Company
Position

A.B.N.

Postal Details
2 Address
Suburb
Country
Contact Details
3 Work Phone Mobile Phone
Fax
Email
WWW
Membership Type & Fees
4 Type of business
Manufacturer (select yes or no)
Importer
Wholesaler
Distributor
Retailer
Please complete
Gross annual turnover (estimated)
Fees Applicable
Payment Option
Payment Details
5 Card Type
Card Number
Expiry Month / Year
Name on Card
Card ID No (American Express cards only)
Additional Membership Cards (enter up to 5 names)
6 Additional cards
Signature if
faxing or mailing
Privacy Statement
7

The Australian Automotive Aftermarket Association Ltd requires the personal information requested in order to process your membership application and provide you with our services and information about our membership services. You will be able to access the personal information held by the Australian Automotive Aftermarket Association Ltd upon reasonable notice. If the requested information is not provided, your membership application form will not be able to be processed and you will not receive membership services. 

The personal information provided by you in this application form may be used by the Australian Automotive Aftermarket Association Ltd to provide you with promotional material from other members and from non-member third parties.If you do not wish to receive this promotional material, please tick the box to follow.

   I Do Not Wish To Receive Promotional Material

The fiscal year of the association is from July 1st to June 30th
All membership dues are payable annually to the 30th June in advance.


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