About you Full Name Email Date of Birth Mobile Address State Postcode Membership information Membership Type AssociateOrdinarySponsor Nominee information: Only fill name if you have a nominee I have a nomineeI do not have a nominee Nominee Name Application confirmation I am applying for membership at the Perth STEM Association. I have read the Association’s Constitution and I understand it fully. I also confirm that all information listed on this sheet is correct. I understand my membership will commence once accepted by the committee and when I have paid all fees required of me. I understand I will be contacted by a member of a Committee to confirm my membership. I understand my membership is only valid once I have paid the first monthly fee. Eligibility The member is eligible for membership if: Any person who supports the objects or purposes of the Association is eligible to apply to become a member An individual who has not reached the age of 15 years is not eligible to apply for a class of membership that confers full voting rights. The Committee does not object to their membership If you do not have a nominee and you apply using this form, the Committee Secretary will be the nominee.