Member Registration Member Registration Membership Information You have selected the Active Membership level. Active Members include doctors with a Bachelor of Medicine including, but not restricted to, neurologists, pain specialists, anaesthetists, neurosurgeons and general practitioners; or scientific researchers in the field of headache with a PhD. $75.00 per Year to ANZHS only. ANZHS membership incurs 10% GST for Australian residents. Membership expires on January 10, 2026. Account Information Username * Password * Show Password Confirm Password * First Name * Last Name * Email Address Confirm Email Address E-mail to be visible in members directory and/or ANZHS associates Full Name LEAVE THIS BLANK Already have an account? Log in here More Information Qualifications * Are you a practicing headache physician? [yes/no] * Select Yes No Area of speciality * Select Neurologist Pain Specialist General Practitioner Trainee Allied Health Scientist Other Areas of Interest * Are you already an existing member of ANZHS? [yes/no]* No Yes Please upload your CV in pdf format * ANZHS member nominating membership application: * ANZHS member seconding this membership nomination: * Place of Practice – Australian and New Zealand members only Practice / Hospital name Address 1 Address 2 City State / Region: Select ACT NSW NT QLD SA TAS VIC WA NZ OTHER COUNTRIES Postal Code Australian Residents Check this box if your billing address is in Australia. Your current Active ANZHS membership can be upgraded to Combined Membership (ANZHS & IHS) level.This membership includes the IHS Standard Online Membership at a reduced price of $125 and the ANZHS Active Membership at $50(or $55 including GST if an Australian resident), totalling $175 (or $180 if GST applicable).The IHS Standard Online Membership does not include printed copies of Cephalalgia, so please contact IHS directly if you require aPrint Membership at their usual rate for this level of membership. Select preferred membership plan below:- $255.00 per Year for Combined Membership to ANZHS & IHS. ANZHS membership incurs 10% GST for Australian residents. $75.00 per Year to ANZHS only. ANZHS membership incurs 10% GST for Australian residents. Opt-In Mailing List Join our mailing list. ANZ Headache Society Would you like to set up automatic renewals? Your selected level of membership will be automatically renewed and debited from your securely stored account details, unless you notify ANZHS otherwise of altered membership levels or membership cancellation Billing Address First Name * Last Name * Address 1 * Address 2 City * State * Postal Code * Country * Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong S.A.R., China Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands US Armed Forces Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Phone * Terms of Use I undertake to support the purposes of ANZHS and agree to comply with the rules of and regulations of ANZHS. I understand that all membership applications are considered by the committee prior to approval. I allow ANZHS to communicate via email. I will endeavour to keep ANZHS updated regarding my best email address for this purpose. Specifically, I consent to ANZHS emailing me about participation in research trials. Please tick this box if you do not consent to this. Specifically, I consent to ANZHS emailing me about participation in headache education. Please tick this box if you do not consent to this. Some of your contact details maybe included in a members directory. This would be visible to other ANZHS members only. Details would exclusively include your name, practice location, specialty/role and nominated email address (if you would like to share this). If you do not wish to be included please tick here. Your name, nominated email, specialty and practice location may be shared with ANZHS associates. Please tick this box if you do not consent to this. Please tick if you would like to be included in a publicly available specialty registry of practitioners with an interest in headache. Specifically, your name, specialty and practice location will be visible. No other personal data would be used. Processing…