Renew

Online Application For 2011 Membership Renewal ($70)

Please complete the form using the most applicable options. If making an online payment, please complete the form after payment, so you can include the payment reference number to help us identify your payment.

For FIPRESCI accreditation purposes, our discretionary criteria for renewal of general membership are at least one of the following:

1. A demonstrable track record of involvement in Australian film culture
2. Regular contribution of film reviews and/or film-related articles to a print/broadcast/internet outlet(s)
3. An appropriate level of analysis and/or knowledge of film evident in samples of publications or broadcasts

An * marks the required fields for the form to be submitted. Spam protection may prevent the form being submitted if incomplete information is entered.

Thank you for your continued support!
 
Contact Details:
*Name
*AFCA Card #
*Address
*Postcode
*Email Address
Please enter at least one contact number
Phone Number (w)
Phone Number (h)
Phone Number (m)
Fax

Primary Media Outlet (include website link where available)
*Primary outlet name
*Type of outlet
*Frequency of your contributions
*Estimated audience
*Target audience area

Secondary Media Outlet (if applicable) (include website link where available)
Secondary outlet name
Type of outlet
*Frequency of your contributions
Estimated audience
Target audience area

Other Media Outlet (if applicable) (include website link where available)
Other outlet name
Type of outlet
*Frequency of your contributions
Estimated audience
Target audience area

Additional information
*Please provide specific URLs of samples of your contributions to each of your outlets ( do not simply provide the outlets' index URL), along with any other comments you think are relevant.
Any areas of special interest?

 

Member Profile Update
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Payment details ($70)

Please only complete after payment if online payment on bank deposit is used, so payment reference can be provided. Please see your renewal email for bank details.
*Date of payment (dd/mm/yy)
*Type of payment
*Payment reference used (eg. online reference, cheque name, branch of deposit
 
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