Heathdale Neighbourhood Association Registration Form

Please complete this online form to register with Heathdale Neighbourhood Association and the Infoxchange intranet. Becoming a member will help you access numerous Infoxchange websites and intranets and also allow you to interact with other members of the Infoxchange network. When completing this form you will be required to choose a Username and Password. Please record and store them in a safe place for future reference. You will need them to sign up to intranets, access members-only areas of websites, or change your personal details.

Important: If you have already signed up with Infoxchange Australia and know your Username and Password, you do not need to re-register to join a new intranet or website. Simply go to the Membership Page at the site you wish to join and follow the prompts to sign up. If you have forgotten your Username or Password, visit How to Use This Site for help. If you have disabled cookies, you will need to re-enable them. Please note this form will not accept the following characters: * ! ( ); - 0 ^ #

Please submit your details (required fields are red).

Given Names:
Family Name:
Position:
Organisation:
Telephone:
Mobile Phone:
Email Address:
Please select a state before selecting a region or network
State:
Region:
Network/Program:
About Yourself: Please include any information about yourself that other individuals or agencies may find useful (e.g. details of your particular specialisation, skills and work experience).
Address Book: Add me to the Email Address Book
(A community networking tool that allows other Infoxchange members to access your contact details and networking information.)
Note: your Username and Password will be case sensitive -- best to use only lowercase characters
Sorry, this username already exists. Please try another nickname. Username (6 to 12 characters. Please enter something sensible since it will be your public nickname):
Password (6 to 12 characters):
Confirm Password:



Note: To join any other Infoxchange Australia website or intranet, please go to the registration or membership area of that site and follow the sign-up instructions.
For assistance please telephone Infoxchange Australia Web Services during office hours (9am to 5pm Mon - Fri) on (03) 9418-7400 or email webservices@infoxchange.net.au
Infoxchange Australia