AIMS Affiliate Membership

Please enter information in the form below to apply for AIMS Affiliate.

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Password*

Retype Password *

Personal Details

First Name *

Last Name *

AIMS Member No

Primary Email *

Alternative Email

Primary Phone *

Date of Birth *

Invoice Details

Contact Name *

Company

Contact Phone *

Address *

Suburb *

Postcode *

Country *

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Residential Details

Street Address *

Suburb *

Postcode *

Country *

State *

Home Phone

Other Details

Mine Site

Supporting Documentation

Please upload relevant documentation (allowed file types are pdf, doc and docx only)
If any explanation is required please send a separate email to membership@minesurveyors.com.au.

Are You a Returning AIMS Member? *

Upload - Your AIMS Certificate or Other Proof of Previous Membership *

Upload - your CV *

Upload - Tertiary Qualifications if Applicable

Payment Information

Coupon Code

Price

Discount Amount

Gross Amount

Payment Method

Paypal / Credit Card

Billing Zipcode*

Credit Card Number*

Expiry Date*

Card (CVV) Code*

Card Holder Name*

I accept Terms and Condtions

AIMS Affiliate Membership

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New Member? Please register

Account Information

Personal Details

Invoice Details

Residential Details

Other Details

Supporting Documentation

Payment Information

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