MDSANZ New Member Application



Please create a sign-in to apply for membership to the Movement Disorder Society of Australia and New Zealand.  All membership information is stored and can be checked / changed / updated by members using their logon details.  If you have any questions, please email mdsanzsecretariat@conference.co.nz

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Membership Applicant - Contact Details

Please enter your contact details (* denotes mandatory field)

Home Address
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Professional Qualifications

Membership Confirmation


Upon your membership application being approved, you will be sent a link to make payment (online via credit card, or via electronic bank transfer).  If you have any questions in the meantime, please contact mdsasecretariat@conference.co.nz.

Memberships fees are AUD$65 per year.

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Membership Categories



Please select one of the following membership you wish to apply for:


I want to apply to become an Ordinary Member


I want to apply to become a Senior Member


I want to apply to become a Affiliate Member


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Australian and New Zealand Movement Disorders Clinical Trial Network (ANZ-MD-CTN).

If you wish to become a member of the Australian and New Zealand Movement Disorders Clinical Trial Network (ANZ-MD-CTN), under the requirements of the ANZ-MD-CTN you must confirm that:

 

• you have an attachment to a hospital or academic institution.

• you are involved in movement disorder research or the care of movement disorder patients

• you are currently a financial member of the Movement Disorder Society of Australia (or I am concurrently applying for membership of the Movement Disorder Society of Australia)

ANZ-MD-CTN Supporting Documentation

The following documents are to support your ANZ-MD-CTN application:

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Summary
Application Information Confirmation
Membership Application Terms & Conditions
I hereby confirm and agree: (a) to assume the liability to pay the Members Guarantee Amount; (b) to contribute to the fulfilment of the Society’s objects and purpose; and (c) the Board must approve me as a potential Member.


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Thank You


You will receive an email confirmation of your membership application.

You will receive an email notification of approval within 10 working days.  This email will include a payment link (online via credit card, or via electronic bank transfer).  

If you have any questions in the meantime, please contact Megan Wright mdsanzsecretariat@conference.co.nz.
 

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