Registration Form Please complete your details below and press the Join button when completed to join SPEVI. Personal Details Title First Name * Last Name * Country * Australia Cook Islands Fiji French Polynesia Guam Kiribati Marshall Islands Micronesia Nauru New Caledonia Niue Northern Mariana Islands Palau Papua New Guinea Samoa American Samoa Solomon Islands Timor-Leste Tokelau Tonga Tuvalu Vanuatu Wallis and Futuna Postal Address Line 1 * Required if we are to post information to you Postal Address Line 2 Suburb or village * State or Province* Post Code (please ignore if postcodes aren't used in your country)* Organisation / Affiliation Phone Email * SPEVI Journal (published annually) The SPEVI Journal will be posted to the SPEVI website annually and available for download. All members will be notified of its availability by email. SPEVI Email List options SPEVI Members Only List The SPEVI members’ email list is the main method of communication between members. You are encouraged to share information and ideas with your SPEVI colleagues. SPEVI List The general SPEVI email list is open to any professionals, families and caregivers who wish to share and receive information about education of children and young people with vision impairment. Membership Type Category 1 - General Member $110.00 AU; Free for Pacific Islanders This category of membership is open to educators and other professionals and parents/caregivers who support and promote quality education for children and young people with vision impairment. Membership includes the opportunity to join SPEVI’s committees, working groups and SPEVI Community of Practice, discounted registration for SPEVI conferences and professional learning opportunities, access to the members-only email list, and a single vote at SPEVI meetings. Category 2 - Qualified Specialist Teacher (Vision Impairment) $110 AU; This category of membership is open to teachers with tertiary qualifications in vision impairment education. Membership includes the opportunity to join SPEVI’s committees, working groups and SPEVI Community of Practice, discounted registration for SPEVI conferences and professional learning opportunities, access to the members-only email list, and a single vote at SPEVI meetings. When submitting your membership application, please include your academic transcript (or other evidence) of your studies in vision impairment education. After approval, you will receive an email for processing of your payment. Category 3 - Associate Member $50 AU; This category of membership is open to any personnel supporting persons with vision impairment, including parents/caregivers of individuals, school ancillary staff, volunteers, retired professionals in vision impairment education, and tertiary students completing studies in vision impairment. Associate membership includes discounted registration for SPEVI conferences and professional learning opportunities, and access to the members-only email list. Associate members are not entitled to vote at SPEVI meetings. For New Zealand Membership please contact: xxxxx