Nurse Member

Price:

A$150 for access until March 31, 2027

First Name:* First Name Required

Last Name:* Last Name Required

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City:* City is Required

Country:* Country is Required

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

Are You:* Are You is Required

Enrolled Nurse Registered Nurse Nurse Practitioner Midwife

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Hospital Dermatology Clinic Private Dermatology Practice Cosmetic Dermatology Clinician Other

Would you be interested in joining the team planning committee to assist with education events?: Would you be interested in joining the team planning committee to assist with education events? is not valid

Yes No Possibly

I agree to be bound by the Terms and Conditions of the Association: I agree to be bound by the Terms and Conditions of the Association is not valid

Yes

Are you eligible to work in Australia - please confirm your status (You may be required to provide proof of your eligibilty): Are you eligible to work in Australia - please confirm your status (You may be required to provide proof of your eligibilty) is not valid

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Please provide your AHPRA Number:* Please provide your AHPRA Number is Required

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Description	Amount
Nurse Member – Payment	A$150.00
Total	A$150.00

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