Welcome

You are about to apply to become a member of the Movement Disorder Society of Australia and New Zealand.

The membership fee is $65.00 annually.

Please follow the instructions to complete this form. If you have any questions, please don't hesitate to contact us.

Your data

Before you begin your application you must give consent to Conference Innovators to process your information.

Please click here to view the data processing terms and conditions.

Data processing consent

Data processing consent option required

 

If you have any queries during this process please contact 
Emma Prattley at Conference Innovators

P — +64 9 525 2464 
E — emma@conference.nz

Contact details

Billing address

Professional qualifications


 

If you have any queries during this process please contact 
Emma Prattley at Conference Innovators

P — +64 9 525 2464 
E — emma@conference.nz

Membership categories

Please select one of the following membership you wish to apply for, please refer to the website here if you need clarification about the different categories.

Affiliate member

Ordinary member

Senior member


 

If you have any queries during this process please contact 
Emma Prattley at Conference Innovators

P — +64 9 525 2464 
E — emma@conference.nz

Summary

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.

 

If you have any queries during this process please contact 
Emma Prattley at Conference Innovators

P — +64 9 525 2464 
E — emma@conference.nz

Thank you


You will receive an email confirmation of your membership application. Within 10 days following this you will receive notification of approval which will include a payment link (credit card or direct credit).  

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

Click here to return to the MDSANZ website

 

If you have any queries during this process please contact 
Emma Prattley at Conference Innovators

P — +64 9 525 2464 
E — emma@conference.nz

We are using a temporary cookie to streamline your experience. No personal data is stored and the cookie is removed once you complete your registration.

Your Browser Settings have Cookies Disabled

This site requires a temporary cookie to streamline your experience. No personal data is stored and the cookie will be removed once you complete your registration. Please enable cookies in your browser and refresh this page.