Instructions

Please use this on-line form to apply for corporate membership of the Australasian 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 $500. Each Corporate Member will receive an Institute Plaque in recognition of their support.
  • Payment must accompany this application. On submission of this application form you will be redirected to our secure payment portal. Payment can be made using Credit Card or PayPal.
  • Please do not enter < or > characters into this form as it may be blocked for security reasons.

Application form

I hereby apply for admission to the Australasian 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:

(max 2000 characters)

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

(max 2000 characters)

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.

Before you submit this form!

Please enter the characters of the image into the text box below.

Image Verification Reload