OIC Membership Application Form

 
There is a 50% Membership Fee until 17:00 Thu 25 Jan 2007 for Organisations wishing to 
participate in one or several of the following projects:

	1	Explaining to Government the technical reasons why eCommerce using Store and 
		Forward Value Added Networks cannot work because of the problem of machine
		readable different electronic reference numbers used by Trading Partners. 

	2	Assisting Local Government Agencies to implement eInitiatives

	3	The Australian Port eCommunities Expression of Interest [EOI]
		There are 38 Port eCommunities around Australia.

	4	Participating in the Electronic Contract Information Management [ETIM]
		Special Interest Group to develop an XML based version using AS 4590 of an 
		Electronic Contracts Management Process for Local Government Agencies

Payment of your membership can be by Direct Credit or Credit Card - part of 
this Application Form

*Mandatory - Field must be completed

Aa: ORGANISATION DETAILS
 *Organisation Name:
    
  *Short Name:
   
   ABN (Bus Reg No):    
 *Industry  (ANZSIC Div):    
 *Type of Business:    

Ab: ORGANISATION LOCATION
Room/Suite:  
Floor:  
Building:  
Street Number:  
Street:  
Suburb:  
State:  
*Pcode:  
Country:  

Ab: ORGANISATION POSTAL DETAILS
PO Box:  
Post Office :  
Suburb:  
State:  
Postcode:  
Country:  

Ad: ORGANISATION COMMUNICATIONS
*Telephone Area Code:  
*Telephone No:  
Free Phone:  
Fax Area Code:  
Fax Number:  
Free Fax:  
Organisation Web Address:  
http://  
 
*Organisation email Address:  
   
 

Ga: APPLICANT DETAILS
Title:  
Initials:(incl Family Name)  
*Preferred Name:  
First Name:  
Second Name:  
Third Name:  
*Family Name:  
Position:  
Dept:  

Gb: APPLICANT LOCATION
Room/Suite:  
Floor:  
Building:  
Street No:  
Street:  
Suburb:  
State:  
*Postcode:  
Country:  

Gc: APPLICANT POSTAL DETAILS
PO Box:  
Post Office :  
Suburb:  
State:  
Postcode:  
Country:  

Gd: APPLICANT COMMUNICATIONS
*Telephone Area Code:  
*Telephone No:  
Mobile:  
Fax Area Code:  
Fax Number:  
Pager:  
*Applicant email Address:  
   
 
Pa: PROJECT INTEREST
 *Industry Interest:    
 *Main Application:    

Sa: MEMBERSHIP OPTIONS
Membership Type: 
    
Payment Method: 
    
Payment Amount: 
    
Credit Card Number: 
    
Card Expiry Date:  
   mth  year  
Name on Card: 
    
4 Digit Amex Code: 
    

Zz: FINISH
 Press Submit