Membership Form - Associate Membership

Thank you for your interest in becoming an Associate Member! For information about membership benefits, click here.

To apply, simply follow the instructions and complete the form below.

Instructions:

Fully complete each step (Step 1 to 3) before submitting the form
The current Associate membership price for the year (1st April 2025 to 31st March 2026) is $400.00. Pro-rata rates apply from October 2025.
Remember to attach your Curriculum Vitae.
NOTE: If you are unable to submit the form (i.e. error message "Email address already exists"), please contact the Secretariat (secretariat@anzsom.org.au)
Membership applications are forwarded to the relevant state branch for consideration / approval (up to two weeks to process).
Once approved, the Secretariat will send you a link to pay your membership online. You will have the option of paying via EFT or credit card.
Once payment has been provided, the Secretariat will send you a letter of approval and member log-in details.

Complete your details (steps 1 to 3):

Step 1 - Contact Details
Step 2 - Public Directories and Areas of practice

Title

Firstname

Surname

NOTE: If error message appears "Email address already exists", please contact the Secretariat (secretariat@anzsom.org.au)

Organisation

Occupation

Other Occupation

Preferred Contact Number

Preferred Mailing Address

Suburb

State

Postcode

Country

If Other Country

AHPRA registration number (if applicable)

Curriculum Vitae

I agree to be listed in the 'Find a member' directory

Yes

This is a member-only page and allows current ANZSOM members to search for other members. Your email, phone and occupation will be listed.

I agree to be listed in the 'Find an Expert' directory

Yes

This allows members of the public to search for you and your business using the 'Find an expert' function. If Yes - please complete all details below.

If you would like to be listed in the 'Find an Expert directory' please complete the following details. This information will appear in your profile on the Find an Expert page.