Membership Renewal - New Zealand

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Please contact our friendly team on 1300 661 061 or 0508 465 269 who can assist.

Personal Details

First Name

Surname

Mobile

Email Address

Birth Year

Gender

Job Title

Employer Name

Address Details

Street

Suburb

Country

State

Post Code

Membership Fees

Professional Membership Fees 2022-2023 (Including GST)

Member (MIML) $345Associate Fellow (AFIML) $395Fellow (FIML) $465Affiliate (iMLa) $85

Application Fee $90.00

Professional Membership Fees 2024-2025 (NZD VAT inclusive)

Member (MIML) $345 NZDAssociate Fellow (AFIML) $345 NZDFellow (FIML) $345 NZDAffiliate (iMLa) $85 NZD

Application Fee $100.00

Line Item

Amount

Tax

Total Amount

Payment Information

Cardholders Name

Card Number

Expiry Month

Expiry Year

Security Code

Billing Email

NOTE: Fees, products and services are subject to change without notice. Fees include taxes (where applicable). In completing this form you are agreeing to the terms and conditions. See website for details.

ACCOUNT

OPPORTUNITY

Today Date

Start Date

End Date

Opp

Yes

Opp Name

Opp Stage

Contact Information

Membership Renewal – New Zealand

Membership Renewal - New Zealand

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