Account Name * Organisation or Department name.

Email *

First Name *

Last Name *

Phone *

Are you the Primary contact? * Yes No The Primary contact will oversee all membership information and be responsible for coordinating event invitations.

Who is the primary contact? * Enter Name, Email, Position and Phone for the Primary Contact.

Who are the secondary contacts? * The 2 - 3 secondary contacts will receive invitations to events where multiple representatives can attend. Enter their names, positions and emails.

Are you the best person to contact regarding sponsorship and hosting opportunities? * Yes No

Who should we contact for sponsorship/hosting opportunities? Enter Name and Email of person best placed to discuss sponsorship and hosting opportunities.

Best time to approach for sponsorship/hosting opportunities? January February March April May June July August September October November December To assist with your organisation's internal budgeting and forward planning, please select the best time to approach you for sponsorship/hosting opportunities.

Are you the best contact for administration related queries? * Yes No This contact will help with refreshing contact details and admin queries

Who should we contact for membership admin related items? * Enter Name, Position and Email of contact.

Number of employees * <10 11 - 50 51 - 200 201 - 500 501 - 1,000 1,001 - 5,000 5,001 - 10,000 >10,001

Would you like to nominate representatives for the Energy Taskforce? * Yes No

Energy Taskforce Nominations Each nominated contact will be invited to the Energy Taskforce events. Enter each nominated contacts name, position and email.

Would you like to nominate representatives for the Social Infrastructure & Services Taskforce? * Yes No

Social Infrastructure & Services Taskforce Nomination Each nominated contact will be invited to the Social Infrastructure & Services Taskforce events. Enter each nominated contacts name, position and email.

Would you like to nominate representatives for the Water Taskforce? * Yes No

Water Taskforce Nominations Each nominated contact will be invited to the Water Taskforce events. Enter each nominated contacts name, position and email.

Would you like to nominate representatives for the Mobility Taskforce? * Yes No

Mobility Taskforce Nominations Each nominated contact will be invited to the Mobility Taskforce events. Enter each nominated contacts name, position and email.

Would you like to nominate representatives for the Freight Taskforce? * Yes No

Freight Taskforce Nominations Each nominated contact will be invited to the Freight Taskforce events. Enter each nominated contacts name, position and email.

Would you like to nominate representatives for the InfraTech Taskforce? * Yes No

InfraTech Taskforce Nominations Each nominated contact will be invited to the InfraTech Taskforce events. Enter each nominated contacts name, position and email.

Would you like to nominate representatives for the Tax Taskforce? * Yes No

Tax Taskforce Nominations Each nominated contact will be invited to the Tax Taskforce events. Enter each nominated contacts name, position and email.

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