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Membership Class

Membership Class Applied For *

Ordinary Member

Associate Member

Corresponding Member

Eligibility

Qualified clinicians and researchers in sarcoma and related tumours
Consumer: patient, family and friends, carers and patient advocates
Resident of Australia or New Zealand

Fee: AUD$150 (Qualified clinicians and researchers only)

Eligibility

Trainee clinicians, researchers, fellows
Resident of Australia or New Zealand

Fee: AUD$100

Eligibility

Qualified clinicians and researchers with an interest in sarcoma and related tumours
Consumer: patient, family and friends, carers and patient advocates
Non-resident of Australia or New Zealand

Fee: AUD$50 (Qualified clinicians and researchers only)

Personal Information

Title *

First Name *

Last Name *

Former Names
(if applicable)

Date of Birth *

Personal Contact Details

Address *

Suburb *

State *

Postcode *

Country *

Phone Number

Mobile *

Email Address *

Qualifications Details

Please specify institutions and year of graduation

Qualification #1

+ Add another qualification

Honours & Awards #1

+ Add another honours & awards

Employment Details

Please detail your current relevant employment (if any)

Discipline *

Employer *

Date of Commencement *

Address *

Suburb *

State *

Postcode *

Country *

Phone Number

Email Address *

Other Relevant Experience

Please outline any other experience or contributions to the sarcoma community that may be relevant

- Delete CV

Confirmation *

I agree and acknowledge the terms & conditions outlined in this agreement. Your submission of this form confirms that you have read and agree with our terms & conditions.