AU Membership 3 years

Email *

Password*

Retype Password *

Title

First Name *

Last Name *

Organisation

Address *

Address2

City *

State *

Postcode *

Country *

Phone

Fax

Special Interests/Comments

Qualifications

Position

AHPRA registration number *

(if you are not registered with AHPRA please note N/A)

The AMS now has a Facebook page: https://www.facebook.com/menopause.org.au, LinkedIn account: https://www.linkedin.com/company/australasian-menopause-society and Twitter account: https://twitter.com/amscoolagain.

Please follow us on social media to keep up to date and provide us with your social media handles so AMS can follow you too.

Professionals Facebook Page

LinkedIn account

Twitter handle

AMS information will be sent to you at the postal address and email address above.

AMS maintains a Members’ Directory in the Members’ section of its website. The Members’ section can be accessed by members using their AMS username and password.

Include me in the Members' section of the website

Yes

No

Members' listing details

Use contact details above

Use the following details

Directory Address

Directory Address 2

City

State

Postcode

Country

Phone

Fax (i)

Email Address

AMS maintains a "Find an AMS Doctor" directory in the "Health Information" section of the AMS website. Please indicate if you would like to be listed in the directory and provide your practice details to be published.

Include me in Practice Directory (Find an AMS Doctor)

Yes

No

Practice Name

Practice Address

Practice Address 2

City

State

Postcode

Phone

Fax

Email Address

Website Address

Please complete the following:

1. Do you have a valid and unrestricted registration for clinical practice?

Please select *

Yes

No

Not Applicable

I have noted that any use of the logo and name of the Australian Menopause Society or its AMS initials, has to have been granted approval by the Board of the AMS, prior to such use.

Use of AMS Logo *

I Agree

I have read and understand the Code of Ethics of the Australasian Menopause Society.
https://www.menopause.org.au/about-ams/code-of-ethics

Code of Ethics *

I Agree

I agree to abide by the Constitution of the Australasian Menopause Society.
https://www.menopause.org.au/about-ams/ams-constitution

AMS Constitution *

I Agree

Price

AUD

GST

AUD

Gross Amount

AUD

Payment Method

SecurePay - VISA and MASTERCARD only

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Holder Name*

Security Code*

Australian Full Membership - 3 years

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