R.I.A.A. > Application Form

Application Form

Name of Organisation:
A.B.N.
Nominated Representative:
Title/Position
Postal Address:
Street Address:
Telephone Number:
Facsimile Number:
Mobile Number:
Email Address:
Website Address:
Referees: All applicants for Full or Associate membership must provide two references who are familiar with your business and who may be contacted. One reference must be a current RIAA member. (Applications by Public Officials/Agencies and Affiliate members do not need to include references).
First Referee

Name:
Name of Organisation:
Position:
Telephone:
Mobile:
Second Referee
Name:
Name of Organisation:
Position:
Telephone:
Mobile:

Company Profile Description for Full Member's only:
Please provide below a Profile of your company's products, services or capabilities
for inclusion in the next edition of the RIAA Membership Directory: (strictly limited to 50 words or less)