Australian Paediatric Society Membership Subscription

Please complete the form below.

Approved applications will be issued with account detials on receipt of your payment.

Note: Your email address is your username. Please record your password.

Please transfer $11 to Australian Paediatric Society Ltd

BSB 063 512
A/c 11045684
(please put your name on the transfer)

Username*

Password*

Retype Password *

First Name *

Last Name *

Active Clinical Practice

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Direct Debit - Please transfer the above amount to the Australian Paediatric Society

BSB: 063 512
Acct No. 11045684
Ref: Your Name

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