Prices in effect until December 2013
International Society for
Augmentative and Alternative Communication
ISAAC-Australia Inc.
The Australian Chapter of ISAAC
2013 ISAAC MEMBERSHIP FORM
For the period January 1st – December 31, 2013
Please complete all sections:
Name: _________________________________________________________
Affiliation: _________________________________________________________
Mailing Address: [ ] Business [ ] Home
(Street & No.) _________________________________________________________
(City) ______________________________(State/Province)_____________
(Country) ______________________________(Mailing Code)_______________
Telephone: Business: (______) ____________Home: (____) _______________
Fax: (______) ________________________E-mail: (_____) ___________________________
Web site: ______________________Competency in languages other than English: ________
A.Type of Membership (check only one)
Professional [ ]$99.00 AUD
Membership and AAC journal [ ]$165.00 AUD
Membership and AAC journal and Communication Matters [ ]$242.00 AUD
People who use AAC & their families [ ]$33.00 AUD
*Student (Full time) [ ]$44.00 AUD
**Institutional [ ]$440.00 AUD
Corporate [ ]$1125.00 AUD
***Retired Members [ ]$44.00 AUD
B. Official Journal: Augmentative and Alternative Communication (AAC) 4 issues/year
Special ISAAC Professional [ ]$143.00 AUD
Special ISAAC Student/Retired Rate [ ]$99.00 AUD
Special ISAAC People who use AAC/Families Rate [ ]$99.00 AUD
Corporate and Institutional members [ ]$363.00 AUD
C. Affiliated Publication: AGOSCI In Focus see www.agosci.org.au
D. Affiliated Publication: Communication Matters
Published in English in the UK three times per year January/February; May/June and September.
Special ISAAC rate [ ]$88.00 AUD Enter D: $ _____________
ISAAC-AUSTRALIA Incorporated A0042565W ABN 31 343 934 183
Prices in effect until December 2013
E1. Affiliated publication: ISAAC Israel Journal
Published, annually in the spring, in Hebrew with English abstracts
AIR MAIL delivery [ ]$66.00 AUD AND Enter E1: $___________
F1.Affiliated Publication: Unterstutzte Kommunikation
Published in German by ISAAC-GSC four times per year, February, July & October/November.
Special ISSAC rate [ ]$66.00 AUD or Enter F1: $___________
F2. AIR MAIL delivery [ ]$110.00 AUD Enter F2: $___________
Donations: “I wish to make a contribution to support:”
G1. People who use AAC & their families [ ] $25 [ ]$50 [ ]$100 [ ] Other $____ Enter G1: $
G2. People from Emerging Countries [ ] $25 [ ]$50 [ ]$100 [ ] Other $____ Enter G2: $
G3. Support people who use AAC
to attend the ISAAC Conference [ ] $25 [ ]$50 [ ]$100 [ ] Other $____ Enter G3: $
G4. ISAAC Sponsored Membership Program [ ] $28 CDN Other $____ Enter G4: $
G5. Other Donation to:__________________[ ] $25 [ ]$50 [ ]$100 [ ] Other $____ Enter G5: $
TOTAL AMOUNT (A,B,C,D,E1,F1,F2,G1,G2,G3) Enclosed: $ ____________
The ISAAC Membership Directory is published annually. Please indicate if you do not wish
your name included. [ ]
Check here if you are interested in serving ISAAC as a committee member. [ ]
Check here if you require a receipt for payment of membership / subscriptions. [ ]
Check here if you require a receipt for payment of membership in other name. [ ]
Name for recipient of payment __________________________________________________
If your organisation requires a purchase order please email Meredith: mmallan@netspace.net .au
Please make Australian cheques payable to: ISAAC-Australia
Mail to: Meredith Allan Electronic payments: ISAAC Aust Bank
Treasurer ISAAC-AUSTRALIA Commonwealth Bank
8 Bogong Court, Branch – Box Hill Vic,
Forest Hill, Vic 3131 BSB 063109 Account 10485952
If paying electronically, please also send your application form to Meredith
*For Student Membership
For Student Membership, please complete only item 1 OR item 2:
[ ] 1. “I confirm that the above named is a full-time registered student at
___________________________________________________ (Name of University/Institution).”
__________________________________________ _____________________
(Signature of Professor) (Date)
[ ] 2. I confirm that I am a full-time registered student and have enclosed a copy of my University/Institution registration confirmation.”
** Institutional membership is designed for non-profit groups such as schools, assistive technology centres, service delivery centres and academic programs in related fields.
*** Retired membership is for people who have been AAC members and retire from their work or new people interested in AAC who are no longer working.
Thank you for joining ISAAC AUSTRALIA
ISAAC-AUSTRALIA Incorporated A0042565W ABN 31 343 934 183