New Membership Registration Application

Please note, that by completing this membership registration form you declare that:
You are an authorised representative of your business/organisation, and you hereby apply for membership of Assistive Technology Suppliers Australia (ATSA) Ltd and confirm that you have read both the ATSA Ltd Code of Practice and Constitution and that the organisation you represent will comply with those requirements on admission to membership.

Registration Options

Create Profile

First Name *

Last Name *

Email Address *

Username (lowercase alphanumeric) *

Password (type this twice please) *

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Additional Info

Is your business registered as an NDIS service provider? *

Position *

Phone Number *

Business Type (Hold Ctrl to select multiple) *

Business Type (If not on list)

Membership Tier *

Referee 1: Name, company & contact details *

Referee 2: Name, company & contact details *

Security Verification

Complete Registration

ATSA Expo and Coronavirus – coming soon!

New Membership Registration Application

New Membership Registration Application

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