Join The Alliance

Membership Application Form

retailsafetyalliance.com.au

Complete this form and return it with payment to the Retail Safety Alliance.

1. Applicant details

All membership applications are subject to approval by Retail Safety Alliance management.

2. Membership options (select one)

Tick the applicable membership type. Fees can be confirmed on request or per invoice.

Select

Checkbox

Membership Type

Business Member

Partner Member

Platinum Partner

Not-for-profit / Government / Education

Who It Suits

Multi-site operator

Large operator, major retailer, franchisor, or large multi-site group, service providers, technology vendors, consultants, and partner

For individuals, businesses and organisations that want to make a real difference

Public sector and sector-support organisations

Annual fee (AUD)

$8,000

$17,000

$50,000

$3,000

3. Key benefits (summary)

Access to member briefings, guidance, and updates on retail safety topics
Opportunities to participate in working groups and consultations
Member invitations to events, training, and industry networking
Access to practical resources and templates to improve safety practices

4. Donation

The Retail Safety Alliance operates with the generous support of members and donors. You can make a contribution with your membership.

Select

Checkbox

Type

Donation

Amount

5. Payment and invoicing

Preferred payment method (tick one):

Credit card

Direct deposit / bank transfer

Invoice requested (payable within 14 days)

5. Additional information (optional)

6. Declaration

I confirm that the information provided is accurate and I agree to comply with the Retail Safety Alliance membership terms, including any applicable code of conduct. I understand that membership is subject to acceptance and that fees are payable as invoiced.

Membership is powerful, the Retail Safety Alliance may from time to time publish the names of our members in publications, reports and on our website. Check this box if you would like your membership to not be listed on any material, including the website.

Name

Signature

Privacy

The Retail Safety Alliance will use the information collected on this form to process your membership, communicate with you about member services, and meet governance and legal requirements. Information may be shared with service providers for administration purposes. For more information, refer to the privacy policy on retailsafetyalliance.com.au.

Return this form

Notes: If you are unsure which membership type applies, select the closest fit and request an invoice.

Total Amount

By clicking the Submit button you agree to our Privacy Policy terms

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call us

(03) 0000 0000

Mail Us

tully.smith@retailsafetyalliance.com.au

visit Us

Level 30/91 King William St, Adelaide SA 5000