This form is for new membership applications.

If you are renewing your existing membership, do not fill out this form.

Membership Signup Application

Membership is open to LPOs and requires approval. Please allow up to 3 business days.

After your LPO Group Membership is reviewed and approved, you’ll be invited to apply for a level of insurance based on your business activities.

LPO Details

LPO Name. *

Work Centre Code (WCC). *

Address *

Street Address

Suburb

State/Territory

Country

Country

Postal Code

Licensee Details

First Name *

Last Name *

Business Email *

Mobile Phone *

Legal Entity Name *

ABN *

Postal Address *

Suburb *

State/Territory *

Post Code *

Additional Information

How many LPO's do you own? *

Select from the options below

Select any additional business activities within your LPO *

(or select Stand Alone Post Office)

Other Activities

How many EPOS terminals does this LPO have? *

Select from the options below

LPO Classification

Select the option you think best applies to your LPO

Payment Options *

Membership Application

AU$425

Are you a robot?

I consent to LPOG and WTW using my personal details to assess and manage my membership and for the purpose of assessing insurance in line with the WTW privacy policy which can be found at https://www.wtwco.com/en-AU/Notices/privacy-policy-australasia