ANZBMS - Australian & New Zealand Bone & Mineral Society  

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Subscription Renewals
Privacy Policy
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Online Payment for Subscription Renewals

CARDS
ACCEPTED :

Mastercard
Visa
SECURE PAYMENT
eWay
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Your credit card details will be processed by the secure payment gateway and will not be revealed to ANZBMS:
Secure credit card payments for renewals
  1. Please have this year's Subscription Renewal Notice at hand. You will need to refer to the 'Contact Details' and 'Arrears' information printed on it.
  2. Payments are made via the eWay Secure Transaction Gateway where you will enter your credit card details.
  3. Your credit card will be processed live and you will receive a record of your transaction via email (so please make sure you enter your email address carefully into the form below).

NOTE: The secure payment gateway is provided by eWay. Your credit card details are not revealed to, or recorded by, ANZBMS. Credit cards accepted are Mastercard or Visa. Amounts are in Australian Dollars and include 10% GST where applicable.

Annual Subscription Renewal Form - pay by 30th June
* denotes mandatory fields
CONTACT DETAILS:  *
IMPORTANT: Enter your current contact details here and compare them to those printed on your Subscription Renewal Notice. Let us know which details you have changed by ticking the boxes on the right. CHANGED
DETAILS
TITLE : *
FIRST NAME : *
LAST NAME : *
ADDRESS : *
POSTCODE: *
COUNTRY : *
PHONE : *
FAX :
EMAIL : *
Type carefully, your receipt will be sent to ths address.
ARREARS:  *
Refer to the 'Arrears' amount printed on your Subscription Renewal Notice.
Type in dollars and cents without a '$' sign e.g. 83.50
ARREARS: $ * Type 0.00 if you have no arrears.
MEMBERSHIP TYPE:  *
Full Member - $110.00
Overseas Full Member - $100.00
Student Member - $38.50
Overseas Student Member - $35.00
Retired Member - $33.00 (3 Years)
JOURNAL SUBSCRIPTION:
Osteoporosis International (12 issues/year) - $165.00
SUPERVISOR DETAILS:
Students must provide the name and phone number of their supervisor:
NAME :
PHONE :
RESEARCH ACTIVITIES:
Clinical
Basic
MEDICAL AFFAIRS COMMITTEE:
Tick if you would like to serve on the ANZBMS Medical Affairs Committee
CONSENT TO FORWARD PERSONAL DETAILS:
Tick if you agree to ANZBMS forwarding your personal details to third parties in accordance with the ANZBMS Privacy Policy
* Mandatory fields must be answered before continuing



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Content copyright 2005 © Australian & New Zealand Bone & Mineral Society
Design copyright 2005 © Anne Kovach, eRadiate
 
-- This page last edited: 26 February 2008 --