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*** Members, please do not use this online form to renew your membership.  ***

Use the link provided in your personalised renewal email or print off the membership form.

* Required fields

Contact Details

Title:	MrMrsMsMissDr
First Name:		*
Last Name:		*
Business Name:
ABN:
Street:		*
City:		*
State:	ACTNSWNTNZQLDSATASVICWA
Postcode:		*
Country:		*
Work Phone:		Note: Please include country and area codes in telephone numbers.
Home Phone:
Mobile Phone:
Fax:
Email:		*
Website:

Subscription Details

Please choose the type of subscription you require. All prices are in $AUD. ANZSI does not charge GST.

Personal Full Year:	$70
Personal Half Year (Jan – Jun):	$35 New members only
Student Concession Full Year:	$35 Full time students only
Institutional Full Year:	$90
Institution:
Student Number:

Additional Details

Branch:

ACT RegionNoneNSWNZQLDVIC

Members living in border regions may elect to belong to a neighbouring Branch. If you wish to belong to a Branch outside your region of residence, which Branch do you wish to belong to?

Publish name only on website:		Member contact details (name, telephone, email address) are made available in the Member Only section of the website. If you would prefer to have only your name and not your contact details published please tick the box at left.
Committee Member:		The Society always appreciates help. Please indicate if you would like to be a member of a committee

 *** Members, please do not use this form to renew your membership ***

 Use the link provided in your personalised renewal email or print off the membership form.

Refunds

In special cases, refunds for membership fees may be granted at the discretion of the ANZSI Council, upon written application to the Treasurer, ANZSI Council, stating the reason for the refund request.

 

 

 

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