Membership

Join Blockchain Australia

Business Membership

Our members collaboratively work to promote the adoption of blockchain technology in Australia and advocate for optimal regulatory and policy frameworks. Become part of a community united by a shared vision.

Business Membership Application Process

The Blockchain Australia leadership team carefully reviews each application and conducts due diligence. Your patience whilst we process your application is appreciated. All sensitive information provided in your application is considered highly confidential and will be treated in accordance with our privacy policy.

Before completing the Blockchain Australia membership Application Form. Please ensure you have read the membership pack.

Download Membership Pack

Business Membership Benefits

Enhanced Visibility
Access and Connection
Networking & Introductions
Event Exposure
Leadership Opportunities

Sign-Up as a business member of Blockchain Australia

Membership Type

What is your membership category? *

Small & Medium Size Enterprise (SME)Corporate & AdvisoryDigital CurrencyPlease select membership type from the above menu. Details of membership types are available on our website. Note: If your business requires a DCE number issued by AUSTRAC, you will fall into the Digital Currency Category.

Business Details

Business Name *

Business Address *This is your business Address

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

ABN Number *

DCE Number

Nature Of Business

Revenue Bracket

Phone *

Email Address *

Website *

Business LinkedIn URL

Contact Details

Primary ContactPlease nominate the primary BLOCKCHAIN AUSTRALIA representative for your business.

First Name *

Last Name *

Email Address *

Position *

Phone *

Secondary ContactPlease provide details for an alternative Blockchain Australia representative if the primary contact is unavailable.

First Name *

Last Name *

Email Address *

Position *

Phone *

Marketing / Media ContactPlease provide a contact for marketing and media requests.

First Name *

Last Name *

Email Address *

Position *

Phone *

Accounts contactPlease provide an accounts contact to process the BLOCKCHAIN AUSTRALIA membership invoice.

First Name *

Last Name *

Email Address *

Position *

Phone *

About Your Business

Description of your business and the services you provide. (minimum 50 words *

Description of your activities and achievements in blockchain (minimum 50 words) *

LOGO

No file chosen

Please provide your business logo as a separate attachment to accompany this application form.

Member Referral

Your RefereeYour referee must be employed within a business that is a current Blockchain Australia Business Member.

First Name *

Last Name *

Company Name *

Email Address *

Position *

Authorisation

First Name *

Last Name *

Position *

Date

Day

Month

Year

Signature *