Join AAIMHI

Please complete this AAIMHI Membership Application form and pay your application fee. Students will need to upload proof of full time student status before submitting the form.

PLEASE NOTE: This form is only for new memberships, to RENEW your membership please log into the MEMBERS AREA.

Membership enquiries      secretary@aaimhi.org

*Branch Affiliation

Your Details

*First Name
*Last Name
*Email Address
*Address
*Suburb / City
*State
*Postcode
*Country
*Phone
*Set a Password
*Profession
Full time students need to scroll down list 
*Place of Work
Interests
Tick if you would like to be included in any of the following Special Interest Groups (may be more than one)

Professional Referee

Your Referee ideally is an AAIMHI member but may be a supervisor or professional colleague in your workplace

*Referee First Name
*Referee Last Name
*Referee Phone
*Referee Email

Supporting Information

Supporting Information
Please provide information on your background, experience and current role to assist the committee make a decision on your application. Please also include what you see are the benefits for you in joinining AAIMHI.

Payment Information

Please accept our terms and conditions, and enter your payment information below.

Total

$110.00 AUD
Approx $82.78 USD

*Declaration by Applicant