Membership Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Prefix *Please choose an optionDrAssoc ProfProfHonMissMsMrsMrName *FirstMiddleLastGenderPlease choose an optionMaleFemalePrefer no to AnswerOrganisation NameMobile Phone *Work PhoneEmail *Postal Address: *Please specify the name of your qualifying institutionPlease specify your highest qualification obtainedWhen did you obtain your qualification?Please specify your main interest in hydrogen researchProduction, Storage, Transmission distribution and export, Utilisation, Cross-cutting issues, International engagement. You can select more than one. Mobile of qualification I want to apply for *Student Membership - $50.00Associate membership - $150.00Emeritus or retired members - $50.00You may pay by credit or debit card immediately using the form below. Alternatively you can pay by EFT using these details: AHRN Ltd Commonwealth Bank of Australia BSB 064-087 Account No. 1030 7508 PLease use your name as the reference. You may also send a cheque made payable to the Australian Hydrogen Research Network Ltd. PO BOX 6011 BROOKWATER, QLD 4300 Your message (optional)Acknowledgement *I agree to be governed by the constitution of the Australian Hydrogen Research Network Ltd, as is now or hereafter be amended. I confirm that the statements made on this application are correctEmail *Sign-up to our newsletter?Credit/debit card details *Submit Enrich your scientific career and become an AHRN member today. Why not encourage a colleague to join too?
