ANUMSS Membership Form
To become a member of the ANU Medical Students' Society:

1. Fill out the following form
2. Transfer the cost of your membership within 7 days to:

Account name: ANU Medical Students' Society
BSB: 032 713
Account number: 203 330
Description: your student number + name

PLEASE CHECK THE BANK DETAILS ARE CORRECT BEFORE YOU TRANSFER AS WE CANNOT TAKE RESPONSIBILITY FOR INCORRECT TRANSFERS.

Any questions email: secretary@anumss.org
Email Address *
Your answer
First Name *
Your answer
Last Name *
Your answer
Student Number *
Your answer
Mobile Number *
Your answer
Expected Year of Graduation *
By submitting this form I understand that until my payment is received, I will not be a member of the Australian National University Medical Students' Society. I understand that someone from the society may contact me to follow up if payment has not been received 7 days after submitting this form. * *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of ANU Medical Students Society. Report Abuse