If you don't have a browser that supports forms, you can apply for membership by printing out the form below the electronic form and mailing it to the Secretary or Chair or faxing it to him/her (see Council list for contact details).

Print out the form below this line to submit by email, post or fax:

IOPI

Nomination for membership

Address:

Phone:

Fax:

Email:

is hereby nominated as a Participating Centre / Individual Member of IOPI
(cross out whichever term does not apply)

by the following two members of IOPI:
(1) [name]:

of [address]:

and

(2) [name]:

of [address]:

I accept this nomination as an IOPI member

[signed]:

[date]:

Please return completed form to the Secretary or Chair (see contact details in Council list)