APANA® Individual Membership Application Form

APANA^® Individual Membership Application Form

(Last updated - 22 January 2005)

Australian Public Access Network Association Inc.

NOTE: This web form automatically sends you a copy of the application form as well as sending it directly to the Treasurer and the Regional Committee of the region you have selected. If there are any errors or omissions on the copy you receive or you have any questions please contact the Treasurer by email, fax (02 4954 7879) or phone (02 4954 8912). Upon receipt of this form the Treasurer may contact you by phone to discuss fee details and method of payment. Once payment has been confirmed by the Treasurer, a member of the Regional Committee will contact you to organise your connection to APANA's network.

APANA^® is the Australian Public Access Network Association Inc. (ARBN 081 355 722, VRN A0026600C). Application for membership can be made by completing this form in full and clicking on the "Submit This Application Form" below or by printing out the text version, completing it and mailing it to the address below.

Completion of this form alone does not endow the applicant with any rights of membership or access to any member services or facilities.

This form is for individual membership only. Non-profit organisations wishing to apply for membership of APANA should use the Organisational Membership form instead.

All correspondence should be sent to:

                                 APANA Inc.
                                 P.O. Box 245
                                 Doncaster
                                 Victoria 3108

On receipt of payment an email receipt will be sent to the address you provide below. In order to contain costs, printed receipts will only be sent via regular mail on request.

IMPORTANT: DO NOT OMIT ANY MARKED FIELD (*) OF THE FORM OR YOUR APPLICATION WILL BE REJECTED.

(Revision: 1.8 $Date: 2002/02/20)

Have you previously applied to join APANA? Yes No

Have you previously been a member of APANA? Yes No

PERSONAL AND CONTACT INFORMATION

The following information is required for APANA membership records and for us to contact you should the need arise. It will not be disclosed to third parties, without your written consent, except where required by law. Portions of this information will be recorded in our membership register which is available for public inspection, by law, upon request to the secretary. Phone numbers will not be made available for public inspection. Access to phone numbers will be restricted to APANA administrative personnel only.

As required by law (Associations Incorporation Act 1981 [Vic] and the Australian Securities and Investments Commission), this information will be permanently recorded in the membership database.

At all times any member of APANA and their guests will have access to your membership number, your name, the region you are a member of, whether you are a financial member or not, and your email address.

* Please indicate the APANA Region you wish to join:

(Please check here before selecting region.)

* First Name(s):

* Surname:

* Postal Address:

* Postcode:

* Business Hours Phone Number:

* After Hours Phone Number:

* Contact E-mail address:

* Are you aged over eighteen? Yes No

(If not, please ensure that your parent or legal guardian signs at the appropriate place on this form.)

LEGAL DECLARATION

This declaration is required before your application for membership of APANA can be processed. Please be sure that you have read and understood both the Rules of Membership and the Network Acceptable Use Policy, included with any supplied information kit or via the World Wide Web site listed below, before signing this declaration.

APANA Network Acceptable Use Policy	Rules of APANA Inc.

http://www.apana.org.au/AUP.html	http://www.apana.org.au/Rules.html

I certify that the above personal details are true and correct and that I have been provided with a copy of the APANA Rules of Membership and the APANA Network Acceptable Use Policy and that I agree to abide by the conditions contained in those documents along with any new or altered policies or conditions which may from time to time be determined by the Management Committee of APANA.

* Signed:

GUARDIAN'S SIGNATURE (if applicant is under 18 years of age)

The Internet allows access to a wide range of information, some of which may offend or be considered inappropriate for people under 18. It is not possible for APANA to censor or control the information which can be accessed through the Internet. Members (and where the member is less than 18 years of age, their parents or guardians) take full responsibility for any information accessed via the APANA network. Your child can benefit enormously from access to the Internet. You may wish to explore this new environment with your child to better understand the issues surrounding it.

Signature of Parent/Guardian:

Signed:
Contact Phone Number:

Connection Setup Details

Preferred username for your connection

Most regions have their connection setup details on their website and/or they will be sent to you following receipt of confirmation of your membership.

You should have checked your region's website already, but if you haven't you should do that now:

ACT Brisbane Hunter Melbourne National

Perth South Australia Sydney National MA-Site Melbourne MA-Sites

Fee Schedule

Note: APANA is not an Internet Service Provider (ISP). It is a Computer Networking club with its own private network. Each region is comprised of Computer and Internet Users groups made up of APANA members. On request by the regions, APANA negotiates contracts with commercial ISPs on behalf of its Internet User group members. The fees listed below comprise 'one share' of the costs involved under existing contracts and the more members a region has the less that 'share' will cost. This is the reason that the cost of a particular connection varies between regions. All existing contracts with their direct impact on fees are regularly reviewed by the Regional Committee and changed if needed to ensure that members receive value for their money. As a consequence over time if membership levels of the regional Internet Users group increase and/or market costs for supply of these services decline, the fees below will be reduced. So if you don't think these fee structures warrant you considering joining APANA at this time, please bookmark this page and come back every couple of months to see if your local APANA Internet User group has introduced what you are looking for by then. Or better yet, fill in this application form and tell us what you want and your local APANA Internet Users group will endeavour to help you find it.

Fees are as follows:

The APANA Membership Fee ($12.00) is payable yearly in advance by all members. (This fee is used to cover the administration costs of APANA and to help support any region with cashflow problems for short periods)

Three regions have Regional Membership Fees (payable yearly): Brisbane ($60.00) & Ex-Brisbane ($75); Melbourne ($18.00) and South Australia ($53.00). (This fee is used to cover costs involved in maintaining the regional hubs)

Some regions have Setup Fees (payable in advance) for particular connections or additional services. These are 'one-off' payments. Please check your region's website for more information. (This fee is used to cover the cost of setting up a member's new connection with the ISP used by each region)

Type of connection desired:

Available Nationally:

The rates for ADSL in the Hunter Region only apply to members who complete an "Authority to Deduct from Credit Card" form or pay all fees yearly in advance. Otherwise National rates apply.

Northern Wollongong Region has recently ceased providing members with dialup services due to the failure to fill the vacancy for a local Network System Adminstrator. Any member who is within the local call zone of Waterfall (which includes the Northern Wollongong area) should apply instead to join the Sydney Region.

Casual dialup connections are available in Melbourne via Member Access Sites. Fees for such connections are set by the MA-site operators and paid directly to them. Applicants desiring this type of connection can choose either to belong to the Melbourne Region or National Region. Please select either Melbourne or National as your region above and the corresponding MA-Site plan. (The Treasurer will forward a copy of your application to the MA-Site operator/s who will then contact you with further details.)

If you live outside the local call zone for any region listed (anywhere in Australia), you can select Ex-Brisbane as your region; Perth's 56K dialup; South Australia's VPN plan; any ADSL plan or join as a National Member Only. These plans are also available to members within other regional local call zones. If 56K (V90) dialup is not offered by your local region - select your local region but choose one of Perth's 56K plans.

If you couldn't find the type of connection or payment frequency you were after, then other options (not listed) are available. Provided fees remain in advance, part-payments in any amount for all regions are acceptable. Please detail the connection you want and/or any other questions you'd like to ask:

Return

The email that you receive after submitting this form will indicate the itemised cost of all fees that you have indicated are applicable to your desired connection. This is merely a rough guide to the initial payment required (if you choose to join APANA) before your new connection is activated. The Treasurer will advise you by phone of discrepancies (if any) between the amount stated in that email and the correct fees that will apply.

Payment Options

APANA members can choose or alternate between the following methods for payment (please indicate the preferred option for your initial payment in the event that you choose to join APANA):

Pay by credit card :

Pay by cheque made payable to APANA Inc. by post

Pay using online banking:

Pay in person:

Volunteer Positions

APANA is entirely run by volunteers - no member receives any rewards (apart from personal satisfaction) for the work that we do in providing our respective communities with the opportunity to be part of a National (and Local) network of 'computer savvy' individuals willing to share their knowledge, experience and the facilities they provide for themselves with others.

If you are 'like-minded'; would like to learn more about computers and/or computer networking; have skills that you believe may be of benefit in the daily operation of our organisation or would like to acquire those skills, then please consider applying to become an APANA volunteer. Most volunteer work can be done from home and in your spare time, while others may require some short distance, local travel on infrequent occasions, but any out-of-pocket expenses incurred as a volunteer can be reimbursed if requested.

Are you interested in becoming a volunteer? Yes No

If so, which area are you most interested in?

Network System Administration Computer System Administration

Computer Support
Member Support

Webpage Design Policy Making

Committee Meetings Accounting/Bookkeeping

Public Relations Advertising

Other (please specify)

NB: Membership of APANA is mandatory for all volunteers.

Positions Vacant

Urgent:

Northern Wollongong Region has recently ceased providing members with dialup services due to the failure to fill the vacancy for a local Network System Adminstrator. However, existing members are experimenting with providing wireless connections for members within line of sight of the hub situated in Helensburgh. If this is of interest to you then please contact the Regional Co-ordinator

Non-Urgent:

All volunteer positions are initially filled by appointment by the local Regional Committee. If you have expressed interest in becoming a volunteer on this form a member of the Regional Committee will contact you.

Between August and December each year, all regions hold their Annual General Meetings at which Regional Members elect their committee for the coming year. Anyone interested in becoming part of the Regional Committee or just in meeting other members should attend their next Regional Committee meeting. These meetings are open to all APANA members and their guests.

If you wish to find out more about APANA before joining and/or volunteering then please contact the Regional Co-ordinator of your region for more information and/or an invitation to attend the next Regional Committee meeting.

APANA Email Contacts

ACT	Brisbane	Hunter	Melbourne	National	Perth
South Australia	Sydney	Membership	Payments	Officers

APANA^® is the Registered Trademark of the Australian Public Access Network Association Inc.
APANA^® newsgroups^™, APANA^® network^™ and the APANA^® logo^™ are trademarks of the Australian Public Access Network Association Inc.

Have you previously applied to join APANA?	Yes No
Have you previously been a member of APANA?	Yes No

* Business Hours Phone Number:
* After Hours Phone Number:
* Contact E-mail address:

* Are you aged over eighteen?	Yes No

If so, which area are you most interested in?
	Network System Administration	Computer System Administration
	Computer Support	Member Support
	Webpage Design	Policy Making
	Committee Meetings	Accounting/Bookkeeping
	Public Relations	Advertising
	Other (please specify)