Membership Information You have selected the Personal membership level. Applies to all those committed to improving road safety $220 (inc GST) $200 for overseas members If you are a renewing member, please review the details below to ensure all information is up to date and correct. Do you have a discount code? Click here to enter your discount code Discount Code Account Information Username Password Show Password Confirm Password First Name Last Name Email Address Confirm Email Address Full Name LEAVE THIS BLANK Already have an account? Log in here Individual Information Primary Phone Secondary Phone What Chapter would you like to join? 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Please Select Emergency Services - Other Emergency Services - Police Advocacy - Road Safety Advocacy - Vehicle Safety Advocacy - Other Education - Driving School/Instructor Association Education - University Education - Other Government - National Government - Local Government - State/Territory Research - Medical Research - Road Safety Agency Research - Vehicle/Road Testing Research - Other Health and Medical Private Consultant/Company - Engineering Private Consultant/Company - Industry/Manufacturing Private Consultant/Company - Road Safety Private Consultant/Company - Insurance Private Consultant/Company - Other Interested Member of the Public Other - Funding Other - Not Specified What made you join ACRS? Please Select Belief in the cause Referred by colleague/friend Relevant to profession Conference discount Extra Information Title e.g. Dr/Prof/Ms/Mr/Mx Job Position Company Do you identify as First Nations or Indigenous? Please Select Yes No Prefer not to say What is your age bracket? Please Select 18-24 25-40 41-60 61-69 70+ Prefer not to say What is your gender? Please Select Woman Man Non-Binary/Indeterminant Prefer not to say What is your highest level of education? Please Select PhD Masters Graduate Certificate Bachelors Diploma TAFE Certificate Year 12 Prefer not to say What is your area of expertise? Subscribe to the Weekly Alert Yes No Subscribe to the Journal Yes No Subscribe to Conference emails Yes No Would you like to join the LGN? Yes No (Local Government Network) Would you like to join the IOC? Yes No (International Outreach Chapter) Would you like to join the ECN? Yes No (Early Career Network) Would you like to join the WiRSN? Yes No (Women in Road Safety Network) Would you like to join the HVSN? Yes No (Heavy Vehicle Safety Network) Would you like to join the RPN? Yes No (Road Policing Network) Would you like to join the RRSN? Yes No (Rural Road Safety Network) Choose Your Payment Method Pay by Credit Card Pay by EFT or Direct Deposit Payment Information Card Number Expiration Date CVC Discount Code Pay by EFT or Direct Deposit ACRS bank details for EFT transfers: Bank: Bendigo Bank BSB: 633 000 ACC: 157 497 900 Please note a 2% fee is added to all card payments over $250. I agree to the Membership Policy Processing...
