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AIIM Associate Membership Application Form

SECTION 1

I wish to apply for free AIIM Associate Membership Required

Yes

Please enter your birth month for data verification purposes Required

Title	(Mr, Mrs, Miss, Dr)	Required
First Name		Required
Surname		Required
Company		Required
Job Title		Required
Address		Required
Address		Required
Address		Required
Address		Required
Postcode		Required
Country
Telephone		Required
Email		Required

SECTION 2

What is your organisation’s primary activity? Required

If "Other" please specify Required

Which of the following is closest to your primary job function? Required

If "Other" please specify Required

What level of seniority do you hold? Required

If "Other" please specify Required

What is your organisation’s approximate annual turnover? Required

What is the likely level of spend in your organisation on Information Management projects in the next 12 months? Required

Approximately how many employees are there in your organisation? Required

Over the next 12 months in which of the following is your organisation likely to invest its Information Management Budget? Required

To select multiple use Ctrl + Click

SECTION 3

Please note that by registering as an Associate Member your contact information including email address will be used by AIIM to communicate with you, and you will be advised from time to time about other related products and services from AIIM

PLEASE NOTE THAT YOUR EMAIL ADDRESS WILL NOT BE RELEASED TO ANY THIRD PARTY.

AIIM may arrange for postal mailings for relevant products & services from third parties – please tick here if you DO NOT wish to receive such information.