Membership Form - Full Member (AFOEM Trainee)

Instructions:

• Fully complete each step (Step 1 to 4) before submitting the form
• The current AFOEM Trainee discounted price for the year (1st April 2019 to 31st March 2020) is $288
• Please include the names of your nominator or seconder who must be financial members of ANZSOM. If you do not have a nominator or seconder, you can leave 'Step 4 - Nomination' blank
• Remember to attach a copy of your Curriculum Vitae and proof of admission to the Occupational and Environmental Medicine Training Program or your Membership Identification Number (MIN)
• Submit your form and follow links to complete payment. On the payment page, you will have the option to pay via EFT or credit card
• You will receive an auto-generated tax invoice in your email
• 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 letter of approval and member log-in details