MEMBERSHIP

Overseas Registration

Overseas members are based outside Australia and New Zealand but wish to remain active members of the ANZCNS.

Costs below include Payment Processing Fee $6.28 applied to all credit card transactions

Price:

$206.28 for access until 30 June 2022

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

Mobile Number:* Mobile Number is Required

Q1 - What is/are the name/s of your current institutions?: Q1 - What is/are the name/s of your current institutions? is not valid

Q2 - What is/are your current role/s?: Q2 - What is/are your current role/s? is not valid

Q3 - What is your current FTE in clinical practice related to paediatric neurology?: Q3 - What is your current FTE in clinical practice related to paediatric neurology? is not valid

Q4 - What is your current FTE in research related to paediatric neurology?: Q4 - What is your current FTE in research related to paediatric neurology? is not valid

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Very Strong" or stronger

Description	Amount
Overseas Membership – Initial Payment	$206.28
Total	$206.28

ANZCNS

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