API Membership Application Form

API MEMBERSHIP APPLICATION

Access to all the saving facilities is available at the special online rate of just $9.75 per month. There are no lock in contracts, so you can leave at any time. We are confident you will save so much you will never leave, but you will tell your friends about API.

By submitting this application form, I agree not to on-sell or use any products for profit. I confirm the products purchased will be for personal consumption.

MY DETAILS

Please note fields marked with an * are mandatory

First Name *

Surname *

Date of birth *

Employer *

ADDRESS

Residential House or Unit Number *

Street Name *

Suburb/City *

Postcode *

email address *

Mobile phone *

Home phone

Business phone

Identity Validation *