IMMA Registration form

IMMA Membership Registration

Complete the form below to confirm your details with IMMA.
I hereby apply for Membership of the company and agree to be bound by the
Constitution of the Company.
Name*

First NameLast Name
Position*
Organisation name*
Organisation type*

Incorporated AssociationCompany Limited by GuaranteeSole TraderPartnershipPrivate CompanyFamily TrustUnit of CouncilOther
Mobile*
Please enter a valid mobile number.
E-mail*
Head Office Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Year founded*
Communities served*

What media does your organisation operate*

Social media used by the organisation*

What are the biggest challenges faced by your organization?
Media Kit

Please provide a copy of your media kit(s)
Cancelof
The Board Directors of IMMA will review your application and will inform you of the decision no later than 14 days after the receipt of the application.
If accepted, you will be sent an invoice for the membership fees and they must be paid into IMMA Account before your membership becomes active.
Annual Fees (Choose one)*

$180 for companies with less than 5 employees or sole traders$500 for companies with more than 5 employees
ABN*
Once you submit your application, we will contact you shortly to complete your membership application.

Thank you!
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IMMA Membership Registration