Full Membership - Recurring | Australian Association of Consultant Physicians

Full Membership – RecurringKaren2023-05-09T13:19:27+10:00

Membership Application – automatic renewals

Complete the form below to submit a membership application.

Your AACP subscription will automatically renew annually for your convenience and to ensure uninterrupted membership. Each year you will receive a notice 7 days before the payment is processed. Automatic renewals can be cancelled at any time.

The AACP membership year is from 1 January to 31 December.

Terms:

$395 / Year (price includes taxes)

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Title:* Title is Required

Dr Prof A/Prof Mr Ms Miss

Honours: Honours is not valid

AC AO AM OAM PSM

Gender:* Gender is Required

Female Male Prefer not to say

Date of Birth:* Date of Birth is Required

Business Phone: Business Phone is not valid

Business Fax: Business Fax is not valid

Mobile:* Mobile is Required

Qualifications:* Qualifications is Required

FRACP MBBS MDBS MD PhD Other

If Other is selected: If Other is selected is not valid

Main Professional Specialty:* Main Professional Specialty is Required

Main Specialty Society Membership: Main Specialty Society Membership is not valid

Are you an AMA Member?: Are you an AMA Member? is not valid

Yes No

Are you in private practice?: Are you in private practice? is not valid

Yes No

Email:* Invalid Email

Have a coupon?

Coupon Code:

Invalid Coupon Coupon applied successfully

Description	Amount
Full Membership - Recurring – Initial Payment	$359.09
Sub-Total	$359.09
10% GST	$35.91
Total	$395.00

Select Payment Method

Credit Card (Stripe) PayPal

Javascript is disabled in your browser. You will not be able to complete your purchase until you either enable JavaScript in your browser, or switch to a browser that supports it.

Pay via your PayPal account

No val Please fix the errors above

Application Confirmation:

By submitting this form, you confirm agreement that you are applying to become a member of The Australian Association of Consultant Physicians Limited, ABN 91 003 881 230

PRIVACY POLICY
AACP respects your privacy. The organisation maintains a database of names, addresses and other information relevant to membership of AACP. Any personal information collected is for the primary purpose of providing you with quality membership services. All information collected is treated as confidential and we do not make this information known to other organisations without your consent. You have the right to gain access to your information at any time. Any privacy related enquiries can be directed to AACP via secretariat@aacp.org.au