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 *
Surname *
Your answer
First name *
Your answer
Student Number *
Your answer
Mobile Number *
Your answer
My expected year of graduation is: *
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
A copy of your responses will be emailed to the address you provided.
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