ALGIM Corporate Membership Application
All details, including benefits and pricing, can be found at www.algim.org.nz/corporate
Please provide the details of the contact person for your organisation
Organisation's tag line
Preferred phone number
Alternative phone number
Street Address Line 2
State / Province
Postal / Zip Code
Organisation website URL
Please upload your organisation logo
Maximum file size 100 MB
ALGIM will invoice your organisation using the details you provided. If you use purchase order numbers, please enter it below.
Purchase order number
All information provided in this form is correct and accurate, and I agree that the organisation/company I represent can be invoiced by ALGIM for the associated costs.
Should be Empty: