AAIC Foundation Business Partner Form Thank you for making the decision to become an AAIC Foundation Business Partner. Please complete your details below: Contact Names Contact Phones Email Address State or Territory Queensland North Queensland New South Wales Victoria South Australia Australian Capital Territory Tasmania Western Australia NorthernTerritory National Post Code Business Name Business Website Choose Partnership Level Platinum $5,000 Gold $2,000 Silver $1,000 Bronze $500 Key words or phrases that describe your products or services. Geographical region where your products or services are offered. Why did you decide to support AAIC by becoming a Foundation Business Partner How did you hear about AAIC? Upload Business Logo ReCaptcha submit THANK YOU FOR YOUR SUPPORT Your donation can be deposited into the following account: Commonwealth Bank – Australian Anti Ice Campaign BSB: 06 4474 ACC: 1063 3098 Please use your Business Name as the payment reference and we will send you a Tax deductible receipt. If you require assistance please feel free to call us on 0414 714 894 or 0433 753 774. AAIC Putting The Freeze On Ice Please turn on javascript to submit your data. Thank you!
