Membership Resignation Form
  1. To resign your membership of depa, fill out this form and press 'submit'.
  2. Full Name(*)
    Please type your full name.
  3. Number & Street(*)
    Invalid address - please type house number and street
  4. Suburb Postcode(*)
    Invalid suburb
  5. E-mail(*)
    Invalid email address.
  6. Work Telephone
    Invalid Input - please type numbers only
  7. Home Telephone
    Invalid Input - please type numbers only
  8. Job Title
    Invalid suburb
  9. Current Employer(*)
    Invalid input
  10. Reason for resignation
    Invalid Input
  11. Other reason
    Invalid Input
     please specify
  12. Date of Resignation(*)
    Invalid Input - please type numbers only
  13. I wish to resign from my membership of The Development and Environmental Professionals' Association. I understand that this resignation will take effect from the date I specified above.
  14. Declaration(*)
    Please tick to confirm
  15. Security check (*)(*)
    Security check (*)
    Invalid numbers, please try again.
    Please type the numbers below
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