STEP 1 of 3: Member Registration Please complete the form below to join IICT

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Note: This Registration form is limited to Australian and New Zealand Residents or those applicants with suitable working visas. For other countries visit:  www.myiict.com Note: All membership fees are automatically recurring annually and listed in Australian Dollars. Inclusive of GST. Relax! All memberships come with a 90 day, 200%, Double your Money Back Satisfaction Guarantee Try IICT membership for 90 days and if we didn't perform exactly as we promised, we will refund back double your membership fee, no questions asked*! The double your money back guarantee is redeemable after 90 days from joining IICT [read more] *Subject to the IICT's  Refund Policy

* Required Country * Australia New Zealand

Membership Type * Executive Membership - $195 yearly Full Membership - $130 yearly Associate Membership - $66 yearly Affiliate Membership - $55 yearly Student Membership - $55 yearly Direct Sellers Membership - $55 yearly • Need to Review Membership Types and Benefits? CLICK HERE

APPLY DISCOUNT COUPON CODE HERE:

Company/Business Name (optional)

Your Full Legal Name (first name and surname) *

Email Address *

Confirm Email Address *

Username *

Password *

Confirm Password *

Postal Address *

City/Town *

State/Region *

Postcode *

Country * AUSTRALIA NEW ZEALAND

Best Contact Number *

List your Current Qualification(s) * • For Reiki, please supply your Reiki Lineage • For Beauty Therapy, please supply transcript

Please list the modalities that you are seeking recognition for (see our approved list of accepted modalities by clicking here) *

I will be sending copies of my Qualification(s) by * Post - Po Box 733 Byron Bay NSW 2481 Australia Fax - 1300 659 515 or international: +61 (0) 2 6680 7543 Email - support@iict.com.au Upload Qualifications Now

Attach Files (up to five scans, jpeg only, 2Mb total size limit -- not sure how to check file sizes? Click here)

How did you hear about us? (Be Specific)

Did a current member refer you? Yes

If so, please enter member's name *

Do you have any special comments or notes to go along with your application?

Affiliate Membership Details

NOTE: if you practice any of the following modalities, this membership applies to you, however if you hold qualifications outside the modalities listed below you will need to select a higher membership level: Associate, Full or Executive. Doing so will enable all your modalities to be covered on the one membership and insurance cover. Affiliate Modalities (no qualifications necessary) Animal Communication Astrology Channeling Clairvoyants Mediums Numerology Palmistry Pet Psychics Psychics Spiritual Healers Tarot Card Readers Telephone and Email Psychic Readings Briefly describe the services/practices you offer (for example: tarot readings, psychics readings etc...) *

Please provide a brief history of your practice, including your business name registration (if applicable), your ABN, website link, and any affiliations or memberships you hold with other professional bodies or organisations *

How long have you been in practice (eg: months/years?) *

Please provide three client or industry professional testimonials to verify your credibility and your services in the box below (include contact details for testimonials to verify authenticity) *

I hereby agree to abide by the IICT's Code of Ethics (what's this?) * Yes

Student Membership Details

What is the name of the school of college you are studying with? *

What is the name of the course you are studying? *

Is there a website link you can provide to the course content online? *

How long before you will have completed your course? *

What percentage of the training/course have you already completed? *

Please advise the unit/modules you have already completed *

Please indicate the total length of the training (hours; weeks etc...)*

IMPORTANT! - TRANSCRIPT or LETTER of ENROLMENT REQUIRED. Please email a copy of your academic transcript of units completed and/or confirmation of enrolment from your training provider to: support@iict.com.au * -- or upload --

Direct Sellers Membership Details

What is the name of the product/device or service you on-sell *

Can you provide a website address for the product/device or service *

Is the product or service sold as a Network Marketing Business * Yes No

If Yes, please provide the Network Marketing Business Name and website *

Is there any formal training to utilise this product/device or service * Yes No

If Yes, please indicate the type and length of the training *

FREE BONUS #1. The Secrets of Spiritual Marketing ($29.95 value) (what's this?)

Payment Information

Payment Method * Credit Card Hosted Credit Card (remove if not required) COD PayPal Gift Voucher

Name on Card *

Card Number (DO NOT add spaces between card numbers) *

Card Expiry * 01 02 03 04 05 06 07 08 09 10 11 12 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025

Card Type * Visa Mastercard American Express

CCV Number * (what's this?)

Amount *

Enter Word Verification in box below * Note: If you are unable to read the code below, please refresh this page to acquire a new verification code. (press F5 on keyboard)

Membership Options *

AUS - Affiliate Membership - $55 Yearly

AUS - Affiliate Membership - Discount - $45 Yearly

AUS - Associate Membership - $66 Yearly

AUS - Associate Membership - Discount - $56 Yearly

AUS - Direct Sellers Membership - $55 Yearly

AUS - Direct Sellers Membership - Discount - $45 Yearly

AUS - Executive Membership - $195 Yearly

AUS - Executive Membership - Discount - $185 Yearly

AUS - Full Membership - $130 Yearly

AUS - Full Membership - Discount - $120 Yearly

AUS - Student Membership - $55 Yearly

AUS - Student Membership - Discount - $45 Yearly

NZ - Affiliate Membership - $55 Yearly

NZ - Affiliate Membership - Discount - $45 Yearly

NZ - Associate Membership - $66 Yearly

NZ - Associate Membership - Discount - $56 Yearly

NZ - Direct Sellers Membership - $55 Yearly

NZ - Direct Sellers Membership - Discount - $45 Yearly

NZ - Executive Membership - $195 Yearly

NZ - Executive Membership - Discount - $185 Yearly

NZ - Full Membership - $130 Yearly

NZ - Full Membership - Discount - $120 Yearly

NZ - Student Membership - $55 Yearly

NZ - Student Membership - Discount - $45 Yearly

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