Home
Pride in Diversity
Membership Program
About Pride in Diversity
Business Case for Membership
Membership Rates & Benefits
Join Now
AWEI Benchmarking & Awards
Endorsed LGBTI Trainer Program
About Endorsed LGBTI Trainer Program
Testimonials
Foundation Members, Principal Partners & Patrons
List of Members
Sponsorship Opportunities
Contact Us
Pride in Sport
Membership Program
About Pride in Sport
Join Now
List of Members
Pride in Sport Awards
Pride in Sport Index [PSI]
PSI Benchmarking Publications
Contact Us
Pride in Health + Wellbeing
About Pride in Health & Wellbeing
Health + Wellbeing Equality Index (HWEI)
Membership Rates & Benefits
Join Now
Foundation Member Profiles
Flourish Australia
Lifeline Australia
Medibank
Murrumbidgee Primary Health Network
NurseWatch
Reliant Healthcare
Uniting
ViiV Healthcare
Contact Us
List of Members
Initiatives
Regional Reach Program
AWEI
Sport Index & Awards
LGBTI Inclusion Awards Luncheon
Pride in Practice Conference
Australia’s LGBTI Inclusive Employers
Australia’s LGBTI Inclusive Employers
LGBTI Inclusive Employers – Submit a Profile
Member Job Board
Endorsed LGBTI Trainer Program
About Endorsed LGBTI Trainer Program
Testimonials
Book Now
Sapphire
Resources & Info
Meet The Team
Work With Us
News
Publications
Video Library
Other Resources
Welcome Here Project
Blog
Calendar of Events
Keep up to date
Shop
Language
DEMO - EXAMPLE PURPOSES
German
English
Spanish
French
Sign In
Menu
Home
Pride in Diversity
Membership Program
About Pride in Diversity
Business Case for Membership
Membership Rates & Benefits
Join Now
AWEI Benchmarking & Awards
Endorsed LGBTI Trainer Program
About Endorsed LGBTI Trainer Program
Testimonials
Foundation Members, Principal Partners & Patrons
List of Members
Sponsorship Opportunities
Contact Us
Pride in Sport
Membership Program
About Pride in Sport
Join Now
List of Members
Pride in Sport Awards
Pride in Sport Index [PSI]
PSI Benchmarking Publications
Contact Us
Pride in Health + Wellbeing
About Pride in Health & Wellbeing
Health + Wellbeing Equality Index (HWEI)
Membership Rates & Benefits
Join Now
Foundation Member Profiles
Flourish Australia
Lifeline Australia
Medibank
Murrumbidgee Primary Health Network
NurseWatch
Reliant Healthcare
Uniting
ViiV Healthcare
Contact Us
List of Members
Initiatives
Regional Reach Program
AWEI
Sport Index & Awards
LGBTI Inclusion Awards Luncheon
Pride in Practice Conference
Australia’s LGBTI Inclusive Employers
Australia’s LGBTI Inclusive Employers
LGBTI Inclusive Employers – Submit a Profile
Member Job Board
Endorsed LGBTI Trainer Program
About Endorsed LGBTI Trainer Program
Testimonials
Book Now
Sapphire
Resources & Info
Meet The Team
Work With Us
News
Publications
Video Library
Other Resources
Welcome Here Project
Blog
Calendar of Events
Keep up to date
Shop
Home
Pride in Diversity
Membership Program
About Pride in Diversity
Business Case for Membership
Membership Rates & Benefits
Join Now
AWEI Benchmarking & Awards
Endorsed LGBTI Trainer Program
About Endorsed LGBTI Trainer Program
Testimonials
Foundation Members, Principal Partners & Patrons
List of Members
Sponsorship Opportunities
Contact Us
Pride in Sport
Membership Program
About Pride in Sport
Join Now
List of Members
Pride in Sport Awards
Pride in Sport Index [PSI]
PSI Benchmarking Publications
Contact Us
Pride in Health + Wellbeing
About Pride in Health & Wellbeing
Health + Wellbeing Equality Index (HWEI)
Membership Rates & Benefits
Join Now
Foundation Member Profiles
Flourish Australia
Lifeline Australia
Medibank
Murrumbidgee Primary Health Network
NurseWatch
Reliant Healthcare
Uniting
ViiV Healthcare
Contact Us
List of Members
Initiatives
Regional Reach Program
AWEI
Sport Index & Awards
LGBTI Inclusion Awards Luncheon
Pride in Practice Conference
Australia’s LGBTI Inclusive Employers
Australia’s LGBTI Inclusive Employers
LGBTI Inclusive Employers – Submit a Profile
Member Job Board
Endorsed LGBTI Trainer Program
About Endorsed LGBTI Trainer Program
Testimonials
Book Now
Sapphire
Resources & Info
Meet The Team
Work With Us
News
Publications
Video Library
Other Resources
Welcome Here Project
Blog
Calendar of Events
Keep up to date
Shop
Join Now
Organisation requesting membership/sponsorship:
Company
Address
Street Address
Address Line 2
City
State
Postal code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Key contact for Membership
Key contact Name
*
First
Last
Position
Key contact Phone
*
Key contact Email
*
Accounts Payable Contact:
Acounts Contact Name
First
Last
Accounts contact Phone
*
Accounts contact Email
*
New Membership:
Membership Program
Please Select
Pride in Diversity
Pride in Sport
Pride in Health + Wellbeing
Membership Tier
Please Select
Small Employer Membership ($2942.50 incl. GST)
Technology Only Membership ($3960 incl. GST)
Standard Membership ($6600 incl. GST)
Principal Partner Membership ($11,275 incl GST)
Membership Tier for Pride in Health + Wellbeing
Please Select
PIHW Membership for existing PID Members ($2420 incl. GST)
PIHW Membership ($2860 incl. GST)
PIHW Standard Membership ($6325 incl. GST)
Membership Tier for Pride in Sport
Please Select
Pride in Sport Membership for existing PID Members ($2420 incl. GST)
Pride in Sport Membership ($2860 incl. GST)
Pride in Sport Standard Membership ($6325 incl. GST)
Website Inclusion
Please tick if you would like to be listed as a member on our Pride Inclusion Programs website, and/or if you would like a company profile on our Inclusive Employers Website. You can opt in or out at a later stage if you wish.
www.prideinclusionprograms.com.au
www.inclusiveemployers.com.au
Social Media
*
Are you happy for us to announce via our Facebook that you have joined as members of Pride in Diversity?
Yes
No
Do you have a specific link, message or comment you would like us to include in our social media announcement posts?
Payment & Immediacy of Membership / Sponsorship Benefits
We encourage all payments to be made via credit card at the time of application. You will receive an immediate receipt detailing membership and ABN for your records on processing of your card.
If invoice prior to payment is required, our terms of payment are 14 days from date of invoice. Payments may still be made via credit card, via EFT or our online gateway via the address stated on the invoice.
Membership applications will be processed and immediately effective upon agreeing to the T&C’s and submitting the above form.
Sponsorships will be held on receipt of the above form and agreed T&Cs. Sponsorships will be announced and will come into effect on payment of the sponsorship invoice or immediately upon credit card payment. If sponsorship invoice is unpaid by the due date without prior arrangement, we reserve right to offer the sponsorship to other members.
Payment Term:
Our payment terms are 14 days. Please ticket here if you request a 30 day payment term.
I agree to the Terms & Conditions
*
Click here to download the Terms & Conditions
Yes
Payment method
*
NB: if credit card payment link requests an invoice number, please just enter "Mship" and your company name (or abbreviated version).
pay by credit card
send invoice to pay later
Please submit this form by clicking Submit below.
You will receive an email with link to the credit card payment.
Once submitted, a member of the team will be in contact with you within two business days
Please submit this form by clicking Submit below
This iframe contains the logic required to handle AJAX powered Gravity Forms.