Application for Associate membership PRINT

Pressing the Submit button on this form will take you to our secure payment gateway.
Applications will not be processed if they are made:

  • under a corporate membership without your organisation's approval, OR
  • without payment for any non-corporate membership. 

Please contact our office on 02 8288 8700 if we can provide further assistance.

Title
Surname *
Other Names *
Street Address / PO Box *
Suburb *
State
Postcode *
Country
Telephone *
Facsimile
Mobile *
Email *
Date of Birth  * (dd/mm/yyyy)
Profession *
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.
Attach details of your full CV / Certification / Qualification
Unsupported applications will be processed at affiliate level.
"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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