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YACMA Membership Form 2016
Well done on making the great decision to JOIN YACMA! You won't regret it!

Please note that payments must be received to attend your first, members-only YACMA event for the year.

How to pay Membership Fees:

Deposit your fee to Auckland Chinese Medical Association Inc at 01-0129-0261180-00.

Please use 'YACMA Subs' as Reference and your UPI (e.g. 'jdoe012') as Particulars

Feel free to contact our Membership Secretary, Cindy Ou, at:
First Name *
Last Name *
Preferred name/nickname
Gender *
University of Auckland email address *
Please type in full
Preferred email address
Mobile number *
MBChB Year *
Membership Options *
Please type your full name below *
Putting your full name below is evidence of a signature.
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