Renew Membership

Please enter information on the form below to process subscription for Full Membership.

Profile Picture

Username*

Password*

Retype Password *

Title *

First Name *

Last Name *

Email *

If you have not already registered with this website please create a new username and password.
If you have registered with this website you can login via the top menu.

Find an Expert Profile

Once you have registered you will be prompted to add more detail to your Find an Expert Profile

Find an Expert Inclusion *

Yes

Profile URL (start with http:// or https://)

Online Professional Profile

Twitter Handle

Areas of Expertise

Please specify your expertise by choosing up to 3 of the following alternatives.
Please select only one of several clearly overlapping alternatives.

Areas of Interest

Perinatal and Paediatric SIG

Yes

Clinical Epidemiology and Research Synthesis Methods SIG

Yes

Teaching Epidemiology SIG

Yes

Survey Methods SIG

Yes

Cancer Epidemiology SIG

Yes

Cardiovascular Disease SIG

Yes

Membership Index *

Yes

Disaster Support

I am clinically trained

I am not clinically trained

Peer Review

Yes

Employment & Demographic

This information is not included in your "Find an Expert Profile"

Employing Agency

Health Service Administration

University (or similar)

Hospital

Government

Industry

Social Security Administration

Other Research Establishment

Health Centre or other Primary Care Facility

Self Employed, Private

Organisation

Department

Type of Work

Administration, Management

Teaching, Research

Laboratory

Planning, Information

Clinical

Other Practical

Year Joined

Ancestry *

Aboriginal

Torres Strait Islander

Māori

Pasifika

European

Non-European

Decline to answer

European (optional - specify):

Non-European (optional - specify):

Gender *

Male

Female

Other

Do you live with the effects of an injury, a long standing illness or disability? *

Yes

Membership Details

Payment Information

Payment is in Australian dollars (AUD)

Alternative Email

Address *

Address2

Purchase Order (if required on invoice)

City *

State *

Country *

Postcode *

Phone

Payment Information

Coupon

Payment Terms

$AUD 110.00 for each 1 year

Regular subscription price

$AUD

Regular subscription discount amount

$AUD

Regular subscription tax

$AUD

Payment Fee

$AUD

Regular gross amount

$AUD

Payment Method *

Credit Card (non recurring)

Credit Card (recurring)

PayPal (recurring)

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

I accept Terms and Condtions

Full Membership Subscription

Existing user? Please login. Forgot password? Recover here

New User? Please register

Account Information

Find an Expert Profile

Online Professional Profile

Employment & Demographic

Membership Details

Payment Information

Payment Information