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 *
AUID No. (e.g. 1234567) *
Gender *
Phone number *
Postal Address (ideally one you will still be able to collect mail from later this year) *
Date of Birth *
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DD
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I wish to join AUMSA, NZMSA, and NZMA at the price of $185 for 5 years membership *
I will pay by: *
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