Member Information Form
Please complete this form to ensure your contact details are up to date.

Western Australian Information Technology and Telecommunications Alliance (WAITTA) is committed to comply with the Privacy Act 1988 (Cth).  The information supplied on this form will assist WAITTA to maintain up to date membership details and will be maintained in our Register of Members which, upon request, may be accessed by members of WAITTA.
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Email *
First Name *
Surname *
Secondary Email Address
This address will be used in the event communications are undeliverable to the primary email address
Membership Type *
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