Please enter your details below for M.I.G. membership payment by direct funds transfer or personal cheque.

MIG menbership is restricted to self employed professionals - not corporate entities.

( The fields with ' (*) ' are required entries - other fields are optional.)

 

Personal  Address details :-
			Name:	(*)	

			Business Name:	(*)	

			Phone:	(*)	     Fax:	   

			Street:  (*)    

			Suburb:	        

			City:	  (*)   	State:	    

			Postcode:  (*)  	        Country: (*)

( Please enter your email address carefully - if it's wrong we can't get back to you ! ). 

 
Your email address:             (*) 
Repeat email address:(Email_2)  (*)

( If you do not receive a reply within 2 days then it will usually mean an email problem. )
(We want to respond to you - So if you don't hear from us please contact us again by email.)

 

You can select up to 3 entries in the Services Matrix:- 
(If you want to check how it looks minimise this window, use other then return.)
Select first entry option      :  (*)            
Select first activity option   :  (*)            
Select second entry option     :  (*)            
Select second activity option  :  (*)            
Select third entry option      :  (*)            
Select third activity option   :  (*)            

Please enter up to 10 keywords which best describe your role- as others would express it  :-    (*)

     



Please enter your SHORT capability Summary - A MAXIMUM of 50-60 words only :-
(If you want to compare others minimise this window, use other then return.) 

     

You will also need to email a 2 page Capability Statement in MSWord format. 
This is to be 2 standard A4 pages long:
Page 1 Detailed Capability Statement
Page 2 Work/Employment History summary.


If you have a web page to link to - please give the full URL address :- (*)
      

     


Confirm membership option              : (*)  
The fee is an annual callendar fee - ie January to December.
For example the same fee applies for joining in January or in September.


Confirm payment option              : (*)  


For Direct Funds Transfer :- 

Bank West :- BSB No: 306 044 

Account Number :- 4900298
For payment by cheque :- 

Make your membership cheque payable to :- 

M.G. Holt 

Mail to: 		M.G.Holt - P.O. Box 1042, Subiaco, WA 6008 



Click on "Submit Information" to send the first half of your input and go to the second form.

 

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