The Supporter Join Form should be completed by individuals, organisations or groups that are not Approved Providers but have an interest or association with the early childhood education and care sector. Please note, Supporter members of ELAA are not able to access ELAA's advisory support services, online leave and work history calculators, wage bulletins, AGM voting rights or nominate to the ELAA Board. The fee for a Supporter – Individual is $483 The fee for a Supporter – Organisation is $945 Member Category Type* Individual Organisation Individual/organisation name*If you are signing up as a Support Organisation, please enter the organisations name. If you are signing up as a Supporter Individual please enter your name. ABN Address* Street Address City State/Territory Postcode Postal Address Same as previous Street Address City State/Territory Postcode Local government area* Email*Please note this is the email used for the ELAA website log-in and general news. Organisations should use a generic email address. Individual/ Organisation PhoneIf you are an individual or organisation with an office, please provide a land line number. Please provide the details of a primary contact person below. Organisations can add an additional contact person that you permit us to speak to regarding your membership of ELAA. Please read our Privacy Policy to access information on our use and disclosure of personal information. Primary contact person*Please provide the details of a primary contact person below. Organisations can add an additional contact person that you permit us to speak to regarding your membership of ELAA. Please read our Privacy Policy to access information on our use and disclosure of personal information. Last name* Position of contact person* Primary contact email*Please note invoices will be sent to this email. Primary contact phone Primary contact mobile Do you wish to add any further contacts for your membership?Do not select if you are signing up as an Associate - Individual Yes No Secondary contact person Last name Position of secondary contact person Secondary contact email Secondary contact phone HiddenPlease select your membership category below* Associate Individual Associate Group (e.g. LGAs, Central Registration / Enrolment Service) Associate Supplier Associate Individual - Associate Group (e.g. LGAs, Central Registration / Enrolment Service) - Associate Supplier - How did you hear about us?Recommended by a friend or colleagueNews coverageSocial MediaSearch engine e.g. GoogleOtherPlease specify Membership fee HiddenPromotion code Individual membership fee Price: Organisation membership fee Price: Total paymentIf you would like to discuss payment options, please contact the Memberships Team by sending an email to memberships@elaa.org.au. $ 0.00 Please select your preferred payment method*Select EFT (Electronic Funds Transfer) to receive an invoice via email. A tax invoice will be sent to the primary email provided that includes ELAA's direct debit details. Debit/Credit Card EFT Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name A tax invoice will be emailed to you when you submit your membership form. The invoice includes all of the information you will need to pay your feeDeclaration*On behalf of the organisation or individual listed above, I hereby acknowledge that all information provided is true and correct to the best of my knowledge. I confirm that I, as an individual member or as a authorised person of the listed organisation, and all representatives will abide by the constitution and terms and conditions provided by Early Learning Association Australia Inc. I accept that once payment is made no refunds will be made available. I agreeSignaturePrint name Date submitted Day Month Year Password*This password will provide you with access to the ELAA website through the member portal. To reset it in the future, please click 'Forgot Password' when you go to log-in. Prompts to reset your password will be sent to the generic email address you have provided for this membership. Enter Password Confirm Password Strength indicator Hiddenmembership_fee CAPTCHA