Associate Membership Services Form

Member Details
Business Name:
AFIA Key representative:
Position Title:

Business Overview
Please provide a brief company descriptor for AFIA marketing collateral:
I give AFIA permission to use the above business description to be placed in AFIA member promotions across all AFIA channels:
Business Address:
Business Logo:

Please select the AFIA sector that your organisation primarily serves:

AFIA regularly communicates with our members to keep you up to date with industry news, legal and regulatory changes, professional development opportunitiesand updates from our Board and CEO. Please provide details below of staff within your organisation to be added to our comms distribution list. AFIA membershave unlimited subscriptions to AFIA communications.
Chief Executive Officer:
CEO contact details:
Chief Financial Officer:
CFO contact details:
Chief Risk Officer:
CRO contact details:
Senior Legal Counsel:
Senior Legal Counsel contact details:
Event Manager:
Event Manager contact details:
Billing contact details:
Members can nominate unlimited company representatives, who are eligible to receive the same membership benefits as the primary contact: