AUMSA/NZMSA/NZMA Sign-up form
AUMSA (Auckland University Medical Students' Association) -
NZMSA (New Zealand Medical Students' Association) -
NZMA (New Zealand Medical Association) -
AUID No. (e.g. 1234567)
Postal Address (ideally one you will still be able to collect mail from later this year)
Date of Birth
I wish to join AUMSA, NZMSA, and NZMA at the price of $185 for 5 years membership
I will pay by:
Internet banking (account # 12-3024-0640401-00)
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This form was created inside of AUMSA.