Corporate MembershipTanya Deall2025-04-22T14:13:58+10:00 "*" indicates required fields Thank you for applying to become an Corporate Member of PESA on behalf of your business. To proceed with your application, please complete the form below. Once submitted, your request will be reviewed within 3-5 working days. Please look out for an email with the next steps to finalise your membership registration. Business name:*Name* First Last Email* Enter Email Confirm Email Your current role:*How did you hear about PESA?* Word of mouth I have previously been a PESA member I attended a PESA event LinkedIn/ Instagram/ Facebook Collaboration with someone I follow Google or another search engine I was fowarded a PESA email Advertisement Other Address of Business:* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Billing InformationTo facilitate a smooth set up and membership renewal process, please provide an email address to process membership payment.* How will payment be made?* Credit card Bank Transfer/ Electronic Funds Transfer (EFT) Team MembersAs part of your corporate membership, nominated staff members will gain access to PESA’s resources, professional development opportunities, and communities of practice. Please provide the details of up to 5 staff members you wish to include on your membership (including yourself). This can be altered later via your account. Additionally, designate a ‘Team Manager’ who will have the ability to manage membership by adding or removing team members as needed.First name:Last name:Email address: Select ONE Team Manager First nameLast nameEmail address Team Manager First nameLast nameEmail address Team Manager Last nameEmail address First nameTeam Manager First nameLast nameEmail address Team Manager Email Consent* I consent to these members receiving PESA member specific information relating to wellbeing education such as the latest research and insights, local and online professional development and other opportunitiesMembership ConsentPlease note: All PESA member information is held in accordance with PESA's Privacy Policy.Constitution Consent* I have read, understood, and agree to the terms and conditions of the PESA Constitution.PESA encourages its members to work collaboratively with others who have an interest in wellbeing education. I consent to publishing my business name as a corporate member on the PESA website.ShareDetailsWithChapters I consent to PESA management sharing my contact details with State Chapter Committees to facilitate potential networking opportunities.CommentsThis field is for validation purposes and should be left unchanged.