Member Registration

Membership Level change

You have selected the Existing Member – Associate or Trainee level.

Existing Associate Members include scientists and researchers, nurses, pharmacists, psychologists, dentists, social workers, physical therapists and other allied health who have held a current membership within the past 12 months. You will need to create an account and fill out your details.. Associate membership includes all the benefits of Active membership except voting privileges and election to the Council.

Existing Trainee Members should be enrolled full time in graduate or postgraduate training in the fields of medicine, dentistry, psychology, or other bioscience who have held a current membership within the past 12 months and who have held a current membership within the past 12 months. You will need to create an account and fill out your details.

The price for membership is $0.00 now and then $30.00 per Year. Customers in Australia will be charged a 10% GST.

Membership expires on January 30, 2020.

Account Information Already have an account? Log in here

Username *

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

Australian Residents
Check this box if your billing address is in Australia.

Additional Information

Qualifications *

Are you a practicing headache physician? [yes/no] *

Area of speciality *

Areas of Interest *

Are you already an existing member of ANZHS? [yes/no]

Place of Practice – Australian and New Zealand members only

Practice / Hospital name

Address 1

Address 2

City

State / Region:

Postal Code

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 *

Phone *

Payment Information We Accept Visa and Mastercard

Card Number

Expiration Date

CVC

Join our mailing list.
ANZ Headache Society

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.

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