Join the Hub

Joining up using this form requires a credit card. If you need to pay on invoice please contact us.

What type of membership would you like? *

Annual one person - $ 120.00

3 month trial one person - $ 30.00

Annual community enterprise membership - $ 240.00

3 month trial community enterprise - $ 60.00

Contractor - $ 0.00

No thank you

Total Amount

I am contributing on behalf of an organization.

On Behalf Of Organization

Organization Name *

Phone *

Email *

Street Address *

City *

Postal Code *

Country *

Membership Profile

Email (Primary) *

First Name *

Last Name *

Birth Date *

This information is requested by the organisations that fund us.

I identify my Gender as

This information is requested by the organisations that fund us.

Ethnicity

This information is requested by the organisations that fund us.

Phone

Address Line 1

Address Line 2

Suburb

City

Post Code

Region

Country

All members and guests must abide by the Code of Conduct.

Code of Conduct *

I agree to the Code of Conduct

Credit Card Information

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province

Postal Code *