FIA Membership

Online Application Form

  

Personal Details - Fields marked with an * are mandatory

Company
Name

DOB

(dd/mm/yy)

*First Name

*Last Name

*Address

*City

*PostCode/
Zip

*Province/State

*Country

Home Ph

*Contact Ph

 

  

*Email

Current
Occupation

    
       

Type of Instructor
Gym Instructor/Personal Trainer Group Exercise Instructor AquaFitness Instructor

Professional Membership (inc. GST)

$88 (AUD)

1. CREDIT CARD

Visa MasterCard Amex

Card no.

Valid until (mm/yy)

Cardholder name

2. PHONE

You can enrol using your credit card over the phone by calling:
(02) 9212 7185
   

Further Assistance and Enquiries
 

Tel:+61 2 9212 7185
eMail: admin@fia.com.au