Membership Form Membership Form You can fill out the membership form on the right and we'll get back to you as soon as possible. Make sure to enter all your details clearly. Name *Email Address *PhoneAgeAustralian Address (Suburb) *Postcode *Australian Resident Status *Select OneStudentTemporary ResidentPermanent ResidentCitizenAddress in Nepal *Select OneKailaliKanchanpurAchhamDotiDadeldhuraBaitadiBajhangBajuraDarchulaOtherMembership TypeRenewal applicable for Regular, Associate & Family members every 2 years.Select OneRegular Member – $20Family Member – $50Associate Member – $50Life Member – $100Add Family Members (excluding yourself)Name *RelationshipSpouseChildCredit / Debit Card *Yes, I agree with the privacy policy and terms and conditions.Submit