New Associate Membership Form

Thank you for wishing to become a member of the Australian Breathwork Association. Please fill in the form below and forward your membership fee.
Fees:
New Associate Membership
Annual Fee
1st July – 30th June = $75.00
New Members joining mid-year:
1st September – 30th December = $56.25 + $25 joining fee
1st January – 31st March = $37.50 + $25 joining fee
1st April – 30th June = $18.75 + $25 joining fee

New associate Membership Form

* Indicates required field

I wish to *

become an ABA Associate Member

I am currently *

Name *

First

Last

Who were you trained by? *

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

If Other, please comment *

Please check on of the payment options. I wish to pay for *

1st July – 30th June = $75.00 + $25 1st September – 30th December = $56.25 + $25 1st January – 31st March = $37.50 + $25 1st April – 30th June = $18.75 + $25

INSTRUCTIONS
Mark your yearly or pro rata option.
When you submit the form you will be taken to a Paypal page with the various payment option

Payment can be made by bank transfer to
Australian Breathwork Association
BSB 112-879 Account Number 464587874
Email copy of your receipt to treasurer@australianbreathworkassociation.org.au

Or upload copy of receipt *

Max file size: 20MB

Submit

Payment with PAYPAL
when you submit you will be taken to a link to pay with Paypal

By filling in this form and submitting it to ABA you acknowledge that you have truthfully answered the questions.
This document then has the force of an affidavit.

New associate Membership Form

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