ACMA 2024 Registration
Welcome to ACMA!

Please fill in this form and follow payment instructions below to sign up for/renew your ACMA membership for this year.

FEES
* FREE for PGY1 house officers
* $80 for retired/"out of town" GP / practice nurses
* $100 for House Officers PGY2+ / GPEP1 registrars / pharmacists / nurse practitioners
* $150 for Specialty registrars / GPEP2+ registrars / Specialist/ GP

New members will get their second year of membership (ie. 2025) renewed for free (excluding PGY1)

Please note: if you are an existing member and refer a new member, you will get a $25 discount off your fees!
 
PAYMENT INFORMATION
Account name: Auckland Chinese Medical Association
Account number: 01- 0129-0261180-00 with these further instructions:
* Please put your name under the “Particulars” section
* Please put your MCNZ number under the "Code" section
* Please put “Renew ACMA” or "New ACMA" under the “Reference” section depending on if you are renewing your membership or signing up as a new member

** FOR RENEWING MEMBERS, PLEASE DO NOT PAY UNTIL INVOICED BY THE ACMA TREASURER **

Please direct any membership queries to membership@acma.org.nz
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Personal email address *
New or returning member? *
First name *
Middle name
Surname *
Name in Asian language (if applicable)
MCNZ number
Preferred email address
Phone number *
Home address *
Date of birth *
MM
/
DD
/
YYYY
Gender *
Country of birth *
Country of medical school *
Languages/dialects
Current or past specialty *
Work number
Extra services provided in your practice
Would you like to be on the "Chinese doctors speaking list" *
How did you hear about us?
Occupation status as of 31 March 2024 *
Were you referred by an ACMA member? *
Who referred you?
MCNZ number of referral
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