Online Membership Application. Offshore & Specialist Ships Australia membership Application Online Membership Application Name* Given Name Surname Company: if Corporate ApplIcation Date* MM slash DD slash YYYY Address* Street Address City Suburb State Territory Post Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email* Phone/MobileMembership*Enter Membership Option. Annual Recurring available for all memberships. $50.00 Per Year Jan~Dec Annual Recurring Subscription $50 or other. Pay Via Credit Card or PayPal (Via our PayPay Page) $300.00 Life Membership (Over 60) $150 Corporate Membership $100.00 Family (2 Parents or Grandparents + 1 Child) $60.00 Family (1 Parents or Grandparent + 1 Child) $110.00 Family (2 Parents or Grandparents + 2 Children) $70.00 Family (1 Parents or Grandparent + 2 Children) $120.00 Family (2+ Parents or Grandparents + 3+ Children) $80.00 Family (1 Parent or Grandparent + 3 Children) $15.00 Junior U18 Pay By EFT Bendio Bank (BSB 633-000 A/C 162344949) Pay Via Credit Card or PayPal (Via our PayPay Page) An Extra Donation to OSSA Extra Donation Amount - Amounts over $2 are tax deductible. Able to Help OSSA?Please indicate in Box, more than one can be selected.Exhibitions and EventsAdmin / IT / Social MediaGrants / FundraisingNewsletterCollection / CataloguingMembershipGovernment Corporate LiaisonSchool PromotionsOther - enter in box below.Not Right NowOtherHow did you hear about OSSA* Industry Social Media Facebook Social Media Instagram Social Media LinkedIn Friend Other Please let us know how you heard about OSSAAgreement and Signature* By signing I agree to abide by the Constitution of Offshore and Specialist Ships Australia, for my contact details to be published in the Member area of the Website (password protected). www.ossa.org.au and that my membership donation will support our Vision. Maritime Experience I Have have previous Maritime experience, seagoing or shore based? If so please provide us with some brief details.PhoneThis field is for validation purposes and should be left unchanged.
