AMIA NSW Membership Program

السَّلاَمُ عَلَيْكُمْ وَرَحْمَةُ اللّٰهِ وَبَرَكَاتُه

Welcome to AMIA NSW Membership Registration / Renewal Program

Please enter details below to complete the process

Category *Existing MemberNew Registration

Current Membership *FamilyIndividualInterstate

Membership Number *AMIANSWx0000 (enter as per ID issued at initial registration time to your registered e-mail from "info@amiansw.org")0 / 12

Any changes in existing membership details? *NoYes

Membership Type *FamilyIndividualInterstate

Full name *

Contact Number *

Email Address *To receive confirmation of registration / renewal

Spouse Name *

Number of dependent children *

Name of Child 1 *

Age of Child 1 *

Name of Child 2 *

Age of Child 2 *

Name of Child 3 *

Age of Child 3 *

Name of Child 4 *

Age of Child 4 *

Name of Child 5 *

Age of Child 5 *

Name of Child 6 *

Age of Child 6 *

Suburb *

State *

Yes

Individual Membership Renewal Fee: $25/-

Individual Membership Registration Fee: $25/-

Change to Individual Membership Renewal Fee: $25/-

Family Membership Renewal Fee: $70/-

Family Membership Registration Fee: $70/-

Changes to Family Membership Renewal Fee: $70/-

Interstate Membership Renewal Fee: $15/-

Interstate Membership Registration Fee: $15/-

Changes to Interstate Membership Renewal Fee: $15/-

Credit / Debit Card *