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 have attended an AIM WA program in the past or are a Member of AIM WA your email address may already exist in our database. If your email address is in our database, a log in box will appear and you will need to log into the site to continue with the form. If you do not have a password simply select ‘ forgot password ’ and a new password will be emailed to you.


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

Employment Status
Preferred Mailing Address
Preferred Invoice Address