The Crane Industry Council of Australia

Application For International Membership

All applications for International membership are subject to approval by the CICA Board of Directors, and relate to CICA membership only. Admittance to membership is conditional upon receipt of the prescribed annual membership fee:

AUD 2,200.00 International Member.

Either:

Download a PDF version of this form to print for fax or mail

Complete the details below to submit an online membership application.

The following company hereby applies for International membership of CICA.

Please complete the contact details for your Overseas Head Office below.

Company Name:
Physical Address:
Postal Address:
Contact Name:
Mobile No:
Telephone No:
Fax No:
Email Address:
Web Address:
Do you wish your company details to be included on the CICA web site?

Principal business activity:

Payment (AUD 2,200.00) can be made by cheque, payable to the Crane Industry Council of Australia, or, if preferred, via electronic funds transfer to:

Account Name: The Crane Industry Council of Australia
Bank: ANZ
Branch No. (BSB): 013 423
Account No: 3485 41561

Alternatively, please forward payment to:

The Executive Officer
The Crane Industry Council of Australia
P.O. Box 136
Mount Waverley VIC 3149

Once all details have been completed, submit this Application For International Membership by clicking the 'Submit' button. To clear this form and start again, click the 'Reset' button.