Corporate Membership – Apply Application for Corporate Membership Company Details Company Name * Company Address/Billing Address * Postcode * Main/Office Telephone * Email * Industry Experience Industry Experience * NOMINATED PERSONS (For National applications, include 2 per-state nominations-QLD, NSW/ACT, VIC/TAS, SA/NT, WA) Nominated Persons * Name / Email Address / Mobile Phone No’ 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 * Drop a file here or click to upload Choose File Maximum upload size: 5MB Submit
