Affiliate Member Membership

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

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Password*

Retype Password *

AIMS Affiliate

Personal Details

First Name *

Last Name *

Primary Email *

Alternative Email

Phone for SMS

Phone (no SMS)

Date of Birth *

Invoice Details

Contact Name *

Company

Contact Phone *

Address *

Suburb *

Postcode *

Country *

State *

Residential Details

Street Address *

Suburb *

Postcode *

Country *

Home State *

Home Phone

Other Details

Industry Type *

Mine Site (if applicable)

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? *

YES

Are You Applying for an Upgrade to Member? *

YES

Eligibility Statement *

-- I confirm my eligibility for this level of AIMS membership as per the current AIMS Membership Policy.

Payment Information

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Price

Discount Amount

GST Tax Amount

Amount Paid

Payment Method

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Expiry Date*

Card (CVV) Code*

Card Holder Name*

I accept

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AIMS Affiliate

Personal Details

Invoice Details

Residential Details

Other Details

Supporting Documentation

Payment Information

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