Application for Affiliate membership PRINT

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Welcome to the AIPM and thank you for your application. In order to Please note that Affiliates are not entitled to:
  • Apply for certification - Only Associates and Members have access to this service.
  • Receive a fee discount under a corporate membership
Title
Surname *
First Name/s *
Street Address / PO Box *
Suburb *
State
Postcode *
Country
Telephone *
Facsimile
Mobile *
Email *
Date of Birth  * (dd/mm/yyyy)
Profession *
Title of current position *
Industry *
Current Employer *
Is this a Corporate Membership application with this employer?
If your company is a corporate member #click here for list# you may eligible for membership under the corporate scheme. If your company is on this list, indicate "Yes" or "No" - if Yes, please include any comments.
If you are part of a corporate, please include any comments.
"I have read the AIPM's Code of Ethics and agree to abide by this Code. I have also read the AIPM's Constitution and agree to abide by the Constitution and to any Rules and By-Laws made in accordance with the Constitution."

NB If you are a part of a corporate membership, please do not pay online, please cancel out of the payment section once you have clicked "Save" and an invoice will be sent to you on receipt of your application.

* Indicates a mandatory field.
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