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First Name*
Last Name*
Email*
Password*
Enter Password Confirm Password
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A password should be alphanumeric. The first letter of the password should be capital. Password must contain a special character (@, $, !, &, etc). Password length must be greater than 8 characters and be classed as 'Strong'.
Address*
Suburb
State*
Postcode*
Country*
Phone*

Age*
Gender
- Male
- Female
- Other
Your connection to disability
Your interest in entrepreneurship

Do you want to register for membership?Membership
- Bronze
- Silver
- Gold
How do you want to pay for your membership?
Through my NDIS plan
- Yes
- No
NDIS Plan Management type*
Make a selection from the drop down list.
Plan Manager's First Name
What is the name of your Plan Manager's contact person. If you are Self Managed, enter your own name.
Plan Manager*
What is the Business or Company name of your Plan Manager. If you are Self Managed, enter your own name.
Plan Manager Invoicing Email*

What is the email address for invoicing to your NDIS plan? If you are Self Managed, enter your own email address.
Plan Manager Phone*
What is the phone number of your NDIS Plan Manager? If you are Self Managed, enter your own phone number.
NDIS Number*
What is your NDIS Number?
Bill to another entity
- Yes
- No
Entity name
Entity email
Entity phone
Bill to EFT or Credit Card
we will contact you directly and privately to confirm your billing details.
- Yes
- No
Confirm email
Confirm phone
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Membership Type
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Forum Role
Users Type
- Gigster
- Hobbyist/Craft
- Incubator/Small Business
You cannot proceed with 'Silver' or 'Gold' membership without payment.

Please select from the following where relevant:
- Aboriginal and Torres Strait Islander
- Returned service
- Former prisoner
- Pilot tester
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