Austmine Limited
Suite 605, 80 William Street Sydney NSW 2011
Phone 02 9357 4660 Fax 02 9380 7972 Email kim.robinson@austmine.com.au
www.austmine.com.au
Our Principal Contact/Firm/Organisation:
Company Details
Full Name of Organisation ABN
Street or Postal Address
City Post Code State
Contact Person
First Name Surname
Position
Telephone Facsimile Mobile
Email
Website
wishes to join AUSTMINE as a General Member and our cheque for $2,145 (being 12 months subscription
and 10% GST) is enclosed/will follow.
Alternate contact from our company is:
First Name Surname
Position
Telephone Facsimile Mobile
Email
Austmine Limited, Suite 605, 80 William Street, Sydney NSW 2011
Our firm/organisation is in the business of:
Consultancy
Engineering design/project management/contracting
Equipment/supplies manufacture
Technology application
Why have you joined Austmine? (tick as required):
Networking opportunities Market visits/trade missions
Events Access to international networks
Information updates Government lobbying
International trade Consultancy
Education and training Personal links to key decision makers
Which international markets are of interest to you?:
North America China
South America India and Subcontinent
Europe Middle East
North Asia Asia Pacific
South-east Asia Africa
Please indicate which of these markets are of most immediate interest:
1 4
2 5
3 6
Declaration:
As a member we agree to make a commitment to the objectives of Austmine and to satisfy the following
membership requirement:
* Not to disclose market intelligence from AUSTMINE other than for benefit of the Australian company
* Act as good Australian corporate citizens
* Make in Australia all decisions that relate to exports from Australia
Signed
Dated
Please send completed application form to:
Robert Trzebski, Executive Officer
Austmine Ltd
Suite 605, 80 William Street, Sydney, NSW 2011
robert.trzebski@austmine.com.au
Fax: 02 9380 7972
Please also attach a one page profile of your company to this form.
Austmine Limited, Suite 605, 80 William Street, Sydney NSW 2011