Membership Application Form "*" indicates required fields Primary ContactName* First Last Email* Phone*Mobile*Company detailsOrganisation/Company* Number of Employees* Industry Type* Position* Please describe your experience and interest in India:Address detailsType* Business Personal Address* Street Address City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Membership details to be displayed on website?* Yes No Membership Category (all figures AUD inclusive of GST)Referred by contact (If so, whom): Attended Event (If so, name of event): Website/Internet: Media Article: Other (Please State): Please let us know three benefits you wish to obtain from AIBC membership:Please let us know how you could contribute to the AIBC:Membership Category (all figures AUD inclusive of GST)Special one-off 20% discount applies on all membership categories (except student) Please complete the form and email to secretariat@aibc.org.au for your Invoice Special offer valid for one month from date of Invoice* $2750 - National Corporate ( companies with offices in multiple states) $1375 - Corporate (companies with more than 50 staff operating in one state) $550 - Associate ( companies with 10 to 50 staff) $330 - Affiliate (companies with less than 10 staff) $330 - Business Professional $207 - Young Professional $55 - Student Membership term is one year from date of joining. Please note a new membership application does not lead to automatic membership. The membership application form requires formal approval by the AIBC Board. Please allow four (4) weeks to complete the membership formalities. Once we have received your application and the board has accepted your application an invoice will be generated and sent to you.Membership Category (all figures AUD inclusive of GST) with 30% One-Off Discount Applied Valid for ONE MONTHHidden* $1925 - National Corporate ( companies with offices in multiple states) $963 - Corporate (companies with more than 50 staff operating in one state) $385 - Associate ( companies with 10 to 50 staff) $231 - Affiliate (companies with less than 10 staff) $231 - Business Professional $145 - Young Professional $55 - Student PhoneThis field is for validation purposes and should be left unchanged. Δ
