Corporate Membership Application for Corporate Membership If you are human, leave this field blank. Company Details Company Name * Company Address * Postcode * Telephone * Fax Email * Industry Experience Industry Experience * NOMINATED PERSONS (For National applications, include per-state nominations) Nominated Persons * Name / Email Address of each person, 1x per line. Feedback How did you hear about IHEA? * APPLICANT’S DECLARATION Checkboxes * I agree, if admitted to the Institute of Healthcare Engineering Australia, to conform to the memorandum and articles of association and rules of the Institute. I certify that statements made by me, on this application, are correct. Associated Documentation * Uploading Files. Please Wait. Drop a file here or click to upload Choose File Maximum upload size: 5MB Submit