Membership Application

SIA Membership is for Australian snowsports retailers and wholesalers only.

Apply for membership as a wholesaler using the form below.

Upon a successful application, SIA Australia will contact you directly.

Approved members will need to register an account to access their membership benefits on the website.
Please do this before submitting your membership application.

Applicant Company Name

Postal Address

City

State

Postcode

Phone

Fax

Primary SIA Contact

Mobile

Bank

Branch

If a Company or trading as a Business name or Partnership:

Date of Incorporation or Registration

A.C.N

A.B.N

Registered Office Address

City

State

Postcode

Directors

Shareholders, Registered Proprietor(s), Partners

Senior Executive Officer

Principal Place of Business

Years in Snow Sports

Nature of Business

Type of Goods sold

Trade Reference 1: Name

Trade Reference 1: Mobile

Trade Reference 2: Name

Trade Reference 2: Mobile

Trade Reference 3: Name

Trade Reference 3: Mobile

SIA Member Proposers

Proposer 1: SIA Member Name

Proposer 1: SIA Member Email

Proposer 2: SIA Member Name

Proposer 2: SIA Member Email

Fees

Joining Fee: $1100 (inc GST)
Annual Subscription: $500 (inc GST)

Company Bank Account Name

Business Phone

Website Domain

Public & Products Liability Insurance Details

Insurance Company

Policy Number

Sum Insured (min $10,000,000)

Policy Expiry Date

Company Warehouse Address

City

State

Postcode

A copy of a recent company bank statement and a current Certificate of Insurance for annual year-round Public and Products Liability Insurance for a minimum sum of $10,000,000, each in the company’s name, must be submitted with this application.

File Upload (JPG, PNG or PDF, max 5MB)

Maximum file size: 5MB

Signature

Applicant Name

Date

Signature

Clear

If you are human, leave this field blank.