Associate Application

Primary Contact:

First Name: *

Surname: *

Mobile: *

Secondary Contact:

First Name:

Surname:

Mobile:

Business:

Business Owner (if not the primary contact):

Name of Business (if known):

ABN (if registered):

Business Telephone:

Email Address: *

PO Box or street address: *

Postal town/suburb: *

Postal State: *
---ACTNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia

Postcode: *

Town or suburb where your accommodation business will be located: *

I have read the HAA Privacy Statement:*
yes

Click here to read Terms & Conditions (PDF)

I agree to receive HAA’s electronic newsletters:*
yes

How did you hear about HAA?: *
---Google SearchRecommended by a member of HAAWord of mouthOther, please specify

If other, please specify: