MFA Membership Application and Fee Quote

Please complete the following information to receive a membership fee quote and commence the MFA membership application process. Upon agreement to proceed, all MFA membership applications are reviewed by the MFA Board of Directors for approval.

Company Name *

Please enter Company Name

Company ABN *

Please enter company ABN

Company Address *

Please enter Company Address

Name of Parent Company *

Please enter Name of Parent Company

Company Representative and Title *

Please enter Company Representative

Company Representative Email Address *

Please enter Email Address

CEO Details (if different from key contact)

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CFO Details *

Please enter CFO Details

Summary of your Core Business Services *

Please enter Summary of Core Business

Summary of the Media Communications (media agency) Services that you provide to Clients *

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Business Operation Date of Commencement *

Please enter Business Operation Date of Commencement

Other Business Activities your business is involved in *

Please enter Other Business Activities Business is Involved in

Current Number of Staff (as MFA fees are based on staff numbers) *

Please enter Current Number of Staff

Key Objective for being an MFA Member *

Please enter Key Objective for being an MFA Member

Key Benefits that you believe you could offer in contributing to the efforts of the MFA *

Please enter Key Benefits that you believe you could offer in contributing to the efforts of the MFA

I have read and agree to the MFA Member Code of Behaviour, MFA Transparency Framework and the MFA Constitution *

Yes

I have read and agree to the MFA Member Code of Behaviour, MFA Transparency Framework and the MFA Constitution

Security *

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