By submitting this form, you declare that the information contained in this form is true and correct. If the application is accepted, you will be invoiced for the annual full Label/Distributor membership fee of $172.50 (including GST). Please note - Membership fees must be paid up to permit voting at the Annual General Meeting / Membership automatically ceases should membership fees remain outstanding beyond 6months from the date of issue of the invoice. Please indicate your acceptance of this. *