JPAA

JPAA Registration Form

This Application Form is for all applicants who wish to become a Full or Associate Member of the Journey Practitioners Association Australasia (JPAA), and includes automatic listing as a practitioner on the Approved JPAA Member Directory, JPAA Mailing List, and Approved Accredited Practitioner’s Website Listing (for those who have been accredited by the Journey Seminars International).

To join, fill out the following form and click on the Send Button:

Alternatively please download the form from the following link www.jpaa.com.au/registration-form

Post to:PO Box 142, Mooroolbark VIC 3138
Email to:info@jpaa.com.au

Your Contact Details

Name (Required):
Address (Required):
Postcode (Required):
Home Phone Number (Required):
Mobile (Required):
Email (Required):
Did a current JPAA Member refer you?	Yes No
If YES,please enter the Member's details
Member's Name:
Membership ID:

Qualifications/Certification Levels

Please state Qualifications/Certification Levels:

You will need to include copies of your Qualifying Certificates with your application, post to:

PO Box 142, Mooroolbark VIC 3138

Would you like your Member Welcome Kit to be emailed?

Yes, please email me my Member Welcome Kit No, please send me my Member Welcome Kit in the post ($4.95 posting + handling)

How did you hear about JPAA?

Accredited Practitioner Directory Listings:

Would you like to be listed on our Approved Practitioner Directory Listing on our website?
Yes No

If YES, complete details below:

Qualification Listings

Practitioner Name:
Phone:
Email:
Business Name:
Address:
Mobile:
Website:

Optional: Add a 30 word description of what service/s you offer as a Practitioner. (Advanced Listing Fee: $50)

Optional:Add a 100 word description on what service/s you offer as a Practitioner, your business logo, and Practitioner (Premier Listing Fee: $100)

Please upload your logo here:

Please Add "Business Essentials Worksop" E Book to my order for only $XXX (% off the RRP)
Yes No

About The Ebook:

Fees

Membership Fees are structured as listed. Please tick which method you would like to pay via:

Full Member - $150 per annum Associate Member - $100 per annum Trainee Member - $50 per annum Affiliate Member - $50 per annum

All prices in AUD$ and are inclusive of GST. Membership is valid until 31 December from your date of joining in that year. NOTE: Pro-rata rates apply each quarter and listing choice i.e. Advanced or Premier

Renewals

All memberships are due for renewal on 1 January each year and renewal notices are sent to members in Sept/Oct. Reminder notices are also sent later in the year.

Sliding Scale - Quarterly Registrations

Pro-rata membership fees are based which month you join.

Join	Fee
January - March	100% of total membership fee
April - June	75% of total membership fee
July - September	50% of total membership fee
October - November	25% of total membership fee
Join in December	Free for December

All memberships are valid until the end of the calendar year in which you join. Certificate re-issue incurs a fee (email: $4.95 or hard copy: $9.95)

Payment Method

Please tick which method you would like to pay via:
PayPal Cheque Bank Transfer

Bank Transfer details: Westpac Bank, Account JPAA, BSB: xxx-xxx A/C: xxxx xxxx xxxx

(NB: Please remember to indicate who the transfer is from, as we need to know who you are for our records)

Please enter the code displayed:

We appreciate your interest in your own professional credibility and support.
Thank you for taking the time to complete your membership requirements.