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Membership application form for professional partners

Join ACS PPP program

Partner Logo

Partner Name: Gympie Regional Council

1

Personal Details

This email is already registered with the ACS.

Note that by editing this email you are effectively updating your login credentials. Please make sure to always use your primary email when attempting to log into the system.

Select either Home Address or Work Address above. Complete all the details and we will save this as your preferred address.

Select either Home Address or Work Address above. Complete all the details and we will save this as your preferred address.

2

PPP Verification

We need you to provide certain details related to our employment with the partner company, in order to process your application. Please provide your position/title as per records of your company, employee id and select the referrer's name from the list.

Please enter Position Tittle

Please enter Employee Id

Terms & Conditions *

Please do not press back button or reload the page during the transaction. In case of a failed transaction please try again after 30 minutes.

Total payable amount

$ 0 AUD

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