New member application
Primary Contact Details (only primary contact will have voting rights and receive Rotoworld)
First Name *
Last Name *
Designation *
Email *
Mobile No.*
Type of Ownership *
Sole Proprietorship
Private Limited Company
Partnership
Limited Company
Company Details
Company Name *
Address *
City *
State *
Postcode *
Country *
Phone *
Fax
Email
Website
Company Representative Contacts
Please list the name of the company representatives to be listed in the Membership Directory and included on the StAR mailing list. Up to 2 names are listed in the directory and up to 3 people can receive StAR mailings.
S.No Representative Name Representative Designation Representative Email Address Name Listed In Directory StAR Mailing List
1. Yes Yes
2. Yes Yes
3. No Yes
Qualification for StAR membership
Please provide 2 references of existing StAR members in good standing to qualify you for membership.
REFERENCE : 1
Name
Phone
Company
Email
REFERENCE : 2
Name
Phone
Company
Email