New Standard Membership Application

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Username*

Password*

Retype Password *

First Name *

Last Name *

AIMS Member No

Primary Email *

Alternative Email

Phone for SMS

Phone (no SMS)

Date of Birth *

Contact Name *

Company

Contact Phone *

Address *

Suburb *

Postcode *

Country *

State *

Street Address *

Suburb *

Postcode *

Country *

Home State *

Home Phone

Industry Type *

Mine Site (if applicable)

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? *

YES

NO

Are You Applying for an Upgrade to Member? *

NO

YES

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

Upload - your CV *

Upload - Tertiary Qualifications if Applicable

Coupon Code

Price

$

Discount Amount

$

GST Tax Amount

$

Amount Paid

$

Payment Method

Paypal / Credit Card

Credit Card Number*

Expiry Date*

/

Card (CVV) Code*

Card Holder Name*

I accept Terms and Condtions

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AIMS Affiliate

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Invoice Details

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