AUMSA/NZMSA/NZMA Sign-up form
AUMSA (Auckland University Medical Students' Association) - http://www.aumsa.org.nz/
NZMSA (New Zealand Medical Students' Association) - http://www.nzmsa.org.nz/
NZMA (New Zealand Medical Association) - http://www.nzma.org.nz/
Email address *
Full Name *
Your answer
AUID No. *
Your answer
Gender *
Your answer
Phone number *
Your answer
Mailing Address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
I wish to join AUMSA, NZMSA, and NZMA at the price of $185 for 5 years membership *
I will pay by: *
Next
Never submit passwords through Google Forms.
This form was created inside of AUMSA. Report Abuse - Terms of Service - Additional Terms