AIMS Affiliate Membership

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

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AIMS Affiliate

Personal Details

First Name *

Last Name *

AIMS Member No

Primary Email *

Alternative Email

Phone for SMS

Phone (no SMS)

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 *

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

Payment Information

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Price

Discount Amount

GST Tax Amount

Amount Paid

Payment Method

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Card Holder Name*

I accept Terms and Condtions

AIMS Affiliate Membership

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AIMS Affiliate

Personal Details

Invoice Details

Residential Details

Other Details

Supporting Documentation

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