Application for Full or Associate Membership ANZSNR

This form is for applicants for full or associate membership of ANZSNR. Applications must be sponsored by two full members of ANZSNR in good standing. 

You may apply by completing this form online, or if you prefer you may print the form and mail it to the Secretariat. After approval, membership will become current on payment of the annual subscription (currently $175AUD). Members who join mid year will be charged a pro rata subscription. Members re-joining ANZSNR after allowing their membership to lapse are liable for an additional administrative fee of $50.

Name *
Name
Area of Practice: *
Sponsor 1 *
Sponsor 1
Name of sponsoring ANZSNR member #1
Sponsor 2 *
Sponsor 2
Name of sponsoring ANZSNR member #2
Previous member of ANZSNR *
Excluding student membership. There is an admin fee of $50 for lapsed members.