BEIA Membership Application

The first step to becoming a BEIA Member is to complete this online Membership Application Form.  If you have any questions with regard to completing the application, please do not hesitate to contact us.  For information on Membership, please view our BEIA Membership Brochure

Upon completion and submission of the form, a copy will be emailed to you with the option to save and/or print, as required.

If you would prefer to complete our Application Form manually, please click the PDF icon to download a printable version of the form
Business Trading Name *
Business Legal Name (if different to above)
Website Address *
Business Category Type *
Main Business Activity *
Secondary Business Activity
How long has the Company been trading? *
Are you linked or associated to any other organisation? *
If "Yes" please give details
BEIA Membership Level (Please select)
Note: Prices exclude GST

Read about BEIA Membership Level Benefits.

List all services and facilities *
How did you hear about BEIA? *
Any additional information about this Application

Postal Address (if different to above)
PO Box / Street
City / Town
Area / Region
Post Code
Additional Contact Person
First Name
Last Name
Job Title / Position
Email Address
Confirm Email Address
Phone (including Area Code)
* The submitting of this application authorises BEIA to collect relevant information for consideration of this application.
* BEIA reserves the right to decline this application. * Membership joining dates commence on 1st of each month. Invoices are automatically raised annually from the first anniversary date.
* Terms of Trade. Payment is due on or before 20th of the month following date of Invoice.
* Cancellation of membership may be made by either party giving written notice to the other party.