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Online Application

Please note AHA Membership is only available to businesses e.g. licensed premises or industry suppliers. AHA Membership is not available to an individual.

Application form

Type of application *:

Contact Name *:

Venue Name *:

Address:

Phone *:

Fax:

Mobile:

Email *:

Website:

Accommodation Details

Owner or Manager of Premise?

Owner Manager

Type of Licence *:

Number of Staff Employed?:

Number of rooms?:

Hotel Pub or Tavern Details

Owner or Manager of Premise?

Owner Manager

Type of Licence *:

Number of Staff Employed?:

Have you recently purchased the property?

Yes No

Amount in dollars of annual liquor purchases?:

Restaurant or Bar Details

Owner or Manager of Premise?

Owner Manager

Type of Licence *:

Number of Staff Employed?:

Have you recently purchased the property?

Yes No

Amount in dollars of annual liquor purchases?:

Industry Supplier Details

Title of contact person:

Owner Manager

Company Name:

Years Trading?:

A brief description of your company's service:

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Corporate
Sponsors

Corporate Sponsor - AON Risk Services

HGT

Treasury Wine Estates

Mal Atwell

Miles From Nowhere

Bankwest

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