LES Membership Application Form

LES Membership Pricing
Jan-Mar Apr-Jun Jul-Sep Oct-Dec 
(inc. following year)
Professional Australian Resident (inc. GST) AU$260 AU$195 AU$130 AU$260
Professional NZ/International AU$245 AU$183.75 AU$122.50 AU$245
Student (inc. GST) AU$120

Personal Information

Membership:

Full Name:




Job Details:



Address:





(leave blank if n/a)
(leave blank if n/a)

Contact Details:



Website:


Tell us how you heard about LESANZ:


Other Details:



Payment Details:

Account Name: Licensing Executive Society of Aust & New Zealand
BSB: 083 064
Account Number: 68553 6915
Bank: Bank of New Zealand
Address: Melbourne office, 271, Collins Street, Victoria 3000
Swift Code: NATAAU3304B

*All transfer charges are to be paid by member/attendee.
*Please use surname in description of transfer for reconciliation and email the Secretariat with details of transfer

Process: Please check your email address is accurate as a tax receipt will be emailed to you immediately upon processing.


Total Amount:

Only click the Process button once. It may take a minute for your order to be processed. If you click again, you will be charged multiple times and sent multiple bookings.