Application for Corporate Membership of the Australian Institute of Emergency Services

Instructions

Please use this on-line form to apply for corporate membership of the Australian Institute of Emergency Services.

Please Note:

Please address your application using the drop-down-box to your local Division of the Institute or the Division that represents the area where your organisation is based.

All fields marked with * must be completed.

The Divisional Registrar processing your application will contact you with details of the progress of your application once it has been received.

The annual cost of Corporate Membership is $250. Each Corporate Member will receive an Institute Plaque in recognition of their support.

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* To: The Divisional Registrar:  Please Select ACT New South Wales Queensland South Australia Tasmania Victoria

* Your Name:		* Phone:
* Email:		* Type email again:
* Address:		* City, State, Post Code:

* Name of Organisation:
* Position/Title:

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I hereby apply for admission to the Australian Institute of Emergency Services as a Corporate Member.

Please include details of any Emergency Management component to your organisation or involvement with the Emergency Services:

Please Enter Any Additional Details You Wish To Have Considered In The Box Below

Please Note: Submitting this form is the same as signing a hard copy. By submitting this form you declare the above particulars to be true and hereby agree to be bound by the Constitution, By-Laws and Code of Ethics of the Institute.

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