Membership Form


		New Members are welcome to join the ASCP at any time using this form. N.B. The period of membership runs until the end of the calendar year regardless of start date.
Members of the ASCP typically renew their membership from year to year by registering for the Annual Conference. However, members who miss the Annual Conference can renew their membership using this form.
A renewal reminder will be sent at the start of the new year to existing members who miss the Annual Conference.


				Title
				
					
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				First Name(*)
				
					
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				Last Name(*)
				
					
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				Institutional Affiliation, if applicable (i.e., University + School, Dept, etc)
				
					
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				Please Select Your Membership Type(*)
				
					 Full Member - 45.00 AUD
  Student/Unwaged Member - 15.00 AUD
 
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				Address
				
					
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				Address 2
				
					
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				City
				
					
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				State / Region
				
					
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				Postcode
				
					
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				Country
				
					
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				Email(*)
				
					
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				Mobile
				
					
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				Membership Category(*)
				
					
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				Scholarly Interests
				
					
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				Total(*)
				
					0.00 AUD 
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