Premium Individual Membership | Irish Australian Chamber of Commerce

Premium Individual membership provides access to members only events and pre-sales for major events aswell as concierge services.

Premium Individual Membership Application

We are delighted that you are joining Irish Australia's premier business organisation.

Membership *

Premium Individual Membership - $ 550 (includes GST of $ 50)

Total Amount

Email Address *

Please enter a Username to create an account. If you already have an account please login before completing this form.

Username *

Check Availability
Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores.

Password

Confirm Password

Provide a password for the new account in both fields.

Your Details

First Name *

Last Name *

Mobile Number

Alternate Number

Street Address

City *

State *

Country *

Postal Code *

Birth Date

Current Employer

Credit Card

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 *