IMIA Membership Registration Payment Form

Please complete the below Membership Registration Form.

If you have any questions, please get in touch.

Title*
Name*
First Last
Email*
Phone*
Employers Name*
Employer Address
Invoice number*
Member Fee / Type of Member*
- A Standard Member Fee - £1500
- B Associate Members - Broking Co's - £1000
- C Associate Members - All others - £750
- D Additional Membership - All members (other than Associate Members) - £750
- E Additional Membership - Associate membership - £400
Please note all net fees are as shown above (all amounts in GB pounds).
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Total
£ 0.00