IIAM Membership Form
 
 

I / We have gone through the IIAM Membership terms and agree to abide by the same.

I / We would like to as an IIAM Member in the following category.
 

Category

 Type
  Membership No. (if an existing member)
  Name
  Address
  Pincode
  City
  Tel No
  Fax No
  E-mail
  Website
  Field of Activity:
 

Name of representative: Designation: Mobile No.

 

Name of representative: Designation: Mobile No.

 

Name of representative: Designation: Mobile No.

 
  Name of CEO:

Date

 

Payment Type

Please Find Enclosed Cheque/DD No. Dated For Rs.

* all fields are mandatory

 
   
 
Terms & Conditions

  • Approval and Renewal of membership will be the sole discretion of IIAM

  • Membership number along with Membership Card will be issued after processing the membership form.

  • Corporate - Life (Rs. 1,00,000/-)
    Corporate - Annual: Registration (Rs. 20,000/-) / Renewal (Rs. 15,000/-)
    Ordinary - Life (Rs. 35,000/-)
    Ordinary - Annual: Registration (Rs. 7500/-) / Renewal (Rs. 5000/-)
    Ex-officio - Life (Rs. 15,000/-)

 

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