Membership Application Form

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Online Application Form

AINDT Membership
PO Box 52, Parkville, Victoria 3052

Tel: +61+61 3 9328 8831
Fax: +61 3 9328 8787

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Membership Application Form

Schedule of fees

Joining Fee $55.00, Company Membership $462.00, Individual Membership $160.00, Student Membership $35.00, Log Book - if required $22.00 inc postage

Fill out the form below to apply online.

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Membership Type

Membership Type		Log Book Required
Total Membership Fee

Applicant Details

Title
Given Names		Surname
Address
City / Suburb		State
Country		Postcode
Home Phone		Mobile
Email Address

Company Details

Organization Name
Address
City / Suburb		State
		Postcode
Business Phone		Business Fax
Company Representative
Copy the text into the box

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Country

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