Become an Affiliate Member

Thank you for your interest in becoming an Affiliate Member with AIM WA.

This introductory level of membership is complimentary, to apply please complete and submit the application form below.

A notification will be sent via email to advise when your application has been submitted successfully.

Please note: If you are already a registered AIM WA website user you may be asked to login to complete the application form. If you do not have a password simply select 'forgot password' and a new password will be emailed to you. If you are not currently a website user please enter your email address and complete the online application form.

YOUR DETAILS


If you do not have a mobile phone number, enter “N/A”

Employment Status
Preferred Mailing Address
Preferred Invoice Address

PROFESSIONAL DETAILS


Survey

Application