Chemistry Education Association - Membership Form
Before completing this registration form please use an online bank transfer to pay the membership fee ($10).

Use your name on your bank transfer reference so we can identify your payment.
Account Name: Chemistry Education Association
BSB Number: 083230
Account Number: 515611011

Please note down the transfer number so that you can complete this registration form.

Memberships are processed every 30 days so it may take some time for your membership to become active.
Memberships received after 20/11/17 will not be eligible for a member discount for the 2018 VCE Chemistry conference.

First name *
Your answer
Last name *
Your answer
Postal address, *
Please include the street name and number, suburb and postcode.
Your answer
Phone number? (mobile or home) *
Your answer
E-mail address? (Type carefully please) *
Please use a long-term email address. CEA membership is for life and we'd like to stay in touch. Students shouldn't use a university email address.
Your answer
What is your current place of work? *
Your answer
Receipt number from your bank from your $10 registration fee
Make the payment to Account Name: Chemistry Education Association, BSB Number: 083230, Account Number: 515611011. Use your name as the bank transfer reference
Your answer
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