Supporter Join Form - Early Learning Association Australia

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, paid resource subscriptions at the member price, 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

New members that join after 1st November and before 1st March receive a pro rata discount of 50% on their membership.

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 Phone

If 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

This field is hidden when viewing the form

Please 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?

Please specify

Membership fee

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Promotion code

Individual membership fee

Price:

Organisation membership fee

Price:

Total payment

$ 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 Express

Discover

MasterCard

Visa

Card Number 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 fee

Declaration*

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 agree

Signature

Print name

Date submitted

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

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membership_fee

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