| Required
Information • |
| Personal
Details |
| Prefix: |
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| First
Name: • |
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| Last
Name: • |
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| Title: |
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| Company
Name: |
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| Address:
• |
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| |
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| Suburb:
• |
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| State:
• |
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| Postcode:
• |
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| Country: |
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| Telephone
Number (BH): |
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| Email
Address: • |
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| Are
you a member: |
Yes
No
|
| Member
Number: |
|
 |
| I
would like to receive the following information |
| Please
check at least one box |
| Professional
Membership Kit: |
|
Member Benefits Program: |
|
| CorpSelect (as part of a Corporate Membership): |
|
Under
Graduate Programs: |
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| Professional
Membership Upgrade: |
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Post
Graduate Programs: |
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| Magazine Subscriptions: |
|
Library/Bookshop: |
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| Professional Development Forums & Event Vouchers: |
|
Course
Directory -Short Courses: |
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| Corporate
Membership Kit: |
|
Customised
Education/Training & Coaching Services: |
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| Professional Development Forums/Events Details: |
|
Venue
Hire Details: |
|
| Other
Information: |
|
| How
did you first hear about AIM?: |
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COLLECTION USE AND DISCLOSURE OF PERSONAL INFORMATION
The Australian Institute of Management (AIM) is committed to supporting the National Privacy Principles. We will only collect and store information about you that is necessary. The information you provide may be used to offer, provide and improve our services to you and may also be disclosed to other parties such as AIM State Divisions, organisations contracted to operate and maintain AIM databases and distribute AIM information.
We will not otherwise, without your consent, use or disclose the information you provide for any other purpose unless it would reasonably be expected that such a purpose is related to the offer, provision and improvement of AIM services and benefits to you or where such purpose is permitted or required by law
You are entitled to request reasonable access to the information we hold about you. For a copy of AIM's privacy policy or if you wish to correct any information held by AIM about you please email to privacyofficer@aimvic.com.au or telephone (03) 9534 8181.
CONSENT TO COLLECTION, USE AND DISCLOSURE
By completing the tick box below, I acknowledge that I have read the Privacy Statement and consent to the collection, use and disclosure of any information provided. In accordance with and for the purposes outlined in the Privacy Statement. I acknowledge that in providing this consent, I have read and fully understood the matters outlined in this Privacy Statement and the implications of consenting to the proposed collection, use and disclosure.
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Consent To Collection, Use And Disclosure:
|
Yes
No
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Should you not consent, your request will still be processed and an AIM representative will be in contact with you shortly.
|
|
| Please
submit this form |
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