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Membership Application Form
Membership year is from 1st July to 30th June. Membership is open at any time of the year, however, no discount is applied to the membership fee, and the expiry date will remain 30th June.
All new members will need to be approved at a management committee meeting, which is held on the 3rd Wednesday of each month.
*
Indicates required field
WHAT CLASS OF APPLICATION IS THIS ?
*
Renewal of ordinary membership ($80.00)
New ordinary membership application ($80.00)
Renewal of corporate membership ($80.00)
New corporate membership application ($80.00)
Renewal of student membership (Free)
New student membership application (Free)
Title
*
Name
*
First
Last
ORDINARY OR CORPORATE MEMBER DETAILS
Occupation
*
WORKPLACE
*
STUDENT MEMBER DETAILS
Student – Program of study
*
Place of Study
*
I confirm that I am enrolled in a full-time course of study and working fewer than 20 hours per week in paid employment
*
Yes
No
Upload a copy of your student card
*
Max file size: 20MB
Free student applications are only processed once a copy of your student card has been uploaded
Email
*
Phone Number
*
Address
*
Line 1
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City
State
Zip Code
Country
Professional Interests
*
Submit
Home
About Us
About the Society
Management Committee
Governance & Policy
Advocacy
Sponsorship
ASRHA Member
Contact Us
Membership
Apply or Renew
Benefits of Membership
Member Portal
Clinical Meetings
Upcoming Clinical Meetings
AGM
>
AGM Poll
Scholarships
SHSQ Scholarships
Sexual Health in QLD Links
Newsletter