Application form

If you wish to apply to become a member, please complete the form below and then click 'Submit' at the bottom of the page. Your application will then be assessed. Once approved, we will contact you requesting payment. A form needs to be completed for every person applying for membership.

If you have any problems completing the form, please contact the Membership Manager, Georgina Oakes on: 020 7680 3085 or at: georgina.oakes@airmic.co.uk

Title:

Your Name: *

Your Last Name: *

Company name: *

Nature of Business:

...If other please specify:

Current position: *

Brief description of responsibilities:

Business address: *

Town: *

Postcode: *

Country: *

Telephone number: *

Mobile number: *

Email address: *

Personal email address: *

(please supply so we can keep in touch with you if you leave your current company)

Source of introduction:

Airmic shares membership information with two other parties. The IRM and Strategic Risk. Members gain benefit by receiving their official publications. Please confirm if you are happy for Airmic to share your address with Strategic Risk and the IRM.: *

I am happy for you to pass on my details to the IRM and Strategic Risk

I do not wish for you to pass on my details.

Airmic is required under the terms of its membership of FERMA (The Federation of European Risk Management Associations) to supply the email addresses of our members once a year for its records.: *

I have no objection to this information being provided.

I object to this information being provided.

Airmic uses third parties to undertake occasional projects and surveys which involves passing your contact information to third parties:: *

I wish to contribute

I do not wish to contribute

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Application form