Please complete this form to apply for COMPANY or Individual Membership membership of the Unmanned Aerial Systems Group
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Name of applicant* |
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of Company Name* |
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Company Name to appear on certificate* |
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Postal Address
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PO Box: |
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Mail Centre: |
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City/Town |
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Postcode: |
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Physical Address
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Street: |
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Suburb/RD: |
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City/Town: |
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Postcode: |
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Name/s of director/s (if Limited Liability Company)
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Name/s of Director/s |
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Date business established |
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Or: if taken over, who from? |
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on what date? |
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Contact Information
This information along with your company name, postal address and primary contacts will be published in the AIA membership Directory and on the AIA website, under the members' login page
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Include this information on the AIA websites, under the members’ login page.* |
Yes
No
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Generic Email* |
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Phone Number* |
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Website |
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Primary Contact
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Name:* |
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Designation:* |
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DDI:* |
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FAX: |
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Mobile Number:* |
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Email:* |
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Secondary Contact
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Name: |
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Designation: |
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DDI: |
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FAX: |
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Mobile Number |
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Email: |
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I, having met the criteria as stated under Rule 3 ‘Ordinary Members’ and Rule 6 ‘Membership’ in the Aviation Industry Association of NZ (Inc) (AIA) Rules & Bylaws, do hereby apply for membership of the AIA
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Employee Numbers
Please indicate the the number of employees in the following categories. If individual membership application please indicate 1
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TOTAL NUMBER OF EMPLOYEES* |
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Membership Grade
Please indicate which membership grade you are applying for
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Membership Level* |
Companies 4 or more persons - $525 + GST
Company 3 persons or less - $210 + GST
Individual - $189 + GST
Please select membership level as appropriate.
NB: Membership fees will not be charged until your application has been approved.
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Do you undertake work and provide services for the
industry in any of the following?* |
Repair/maintenance
Operating
Manufacturing
Other
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UNDERTAKING
NB: Applicants are required to supply specific information in order to support their application.
I undertake, in the event of my election to membership, to pay the annual subscription for the division (Air Transport) of Membership to which I am elected and, if required, to join the Branch of the Association whose territory includes my address as shown in this application. Having read and accepted the Rules and Bylaws of the AIA, if elected to membership, I hereby agree to abide by same and further, I agree to adhere to any decision made, or agreement entered into, by AIA.
Please check the box below to indicate acceptance of these requirements |
Indicate your acceptance of the above by checking
this box* |
I accept the conditions as stated above
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Name of person authorised to sign:* |
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Qualification to Sign (Status in company etc):* |
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Date* |
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Image Verification |
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