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Class of 2027 AUMSA/NZMSA Sign-up form
AUMSA (Auckland University Medical Students' Association) -
http://www.aumsa.org.nz/
NZMSA (New Zealand Medical Students' Association) -
https://www.nzmsa.com/
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* Indicates required question
Email
*
Your email
Title
*
Mr
Miss
Mrs
Ms
Other:
First Name
*
Your answer
Last Name
*
Your answer
Gender
*
Female
Male
Other:
AUID No. (e.g. 1234567)
*
Your answer
Phone number
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Semester Address including suburb, city and postcode (ideally one you will still be able to collect mail from later this year)
*
Your answer
Home Address including suburb, city and postcode (please only include if different from Semester Address)
Your answer
I wish to join AUMSA and NZMSA at the price of $185 for 5 years membership
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YES
No
I will pay the $185 membership fee now by:
*
Internet banking (account # 12-3024-0640401-00)
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