NSW Renewal Form

You must enter your membership number (printed on your membership card) and tick the appropriate checkbox to indicate the method of payment.

Please use your postal address to allow delivery of the Membership Card. If you use a Post Office Box number enter it in the “Street” field.

You may leave the other fields blank if your information has not changed from last year.

The annual membership fee is $30. Membership is from 1st July to 30th June and not from the date you join. Payment methods will be presented to you on completion of this form.

Membership Number:

First Name:


Last Name:

Street:

City:

State:

Post Code:

Home Phone:

Work Phone:

Mobile:

Email Address:

Contact me by email or post:

Payment by:  EFT Cheque/Money Order

On successful admission as a member to CIMAA, I agree to be bound by its rules.

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