Ordinary Annual Membership (Income under $100,000)

Price:

$150 for 1 Year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Which health profession best describes you:* Which health profession best describes you is Required

If you selected 'other' in the above profession, please enter your health profession in the textbox below: If you selected 'other' in the above profession, please enter your health profession in the textbox below is not valid

Areas of interest: Areas of interest is not valid

AHPRA Registration Number (Leave blank if not applicable): AHPRA Registration Number (Leave blank if not applicable) is not valid

I have read and agree to* (documents linked below):* I have read and agree to* (documents linked below) is Required

Terms and Conditions ACAH Constitution Code of Conduct

Please provide a brief summary on why you are interested in joining the Academy?:* Please provide a brief summary on why you are interested in joining the Academy? is Required

Are you of Aboriginal and/or Torres Strait Islander origin?:* Are you of Aboriginal and/or Torres Strait Islander origin? is Required

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

Description	Amount
Ordinary Annual Membership (Income under $100,000) – Payment	$150.00
Total	$150.00

Stripe

Javascript is disabled in your browser. You will not be able to complete your purchase until you either enable JavaScript in your browser, or switch to a browser that supports it.

By checking this box, you have read and consent to the terms set forth in our Privacy Policy.

No val Please fix the errors above

Recent Posts

Recent Comments