Startup Membership Enter details FinTech Australia will contact you once this form is received to discuss approval of your membership application and the process for payment.Email* Primary Contact Number*Name* First Last Company size (number of full time employees)*Founder(s) only, 0 FTEs ($275)Under 5 FTEs ($1,100)5 to 15 FTEs ($3,300)16 to 30 FTEs ($5,500)30+ FTEs ($11,000)We recognise FinTech Startups are at different stages of their growth journey. Our Startup Membership fees are tiered based on the size of your company. Company name*Company URL* Description*This description will be used to confirm your membership, it will not be shared publicly.What kind of FinTech company are you?*Select...Small business lendingConsumer lendingPeer-to-peer lendingCrowdfundingProperty technologyInsurance technologyRegulatory technologyBudgeting and financial managementPayments and digital walletsForeign exchange transactionsBlockchain/distributed ledgerDigital currencyData & aggregatorsWealth and investment advice and/or generationDigital adviceAgricultural technologyRecruitment technologyEducation technologyCybersecuritySavingsMachine learning/artificial intelligenceOtherCredit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name
