Membership Information

Join online (for credit card payments only)

  • New
  • Renewal

    • Download forms (for chq/money order/credit card payments)

  • New members
  • Renewals

    • ATCA Constitution

    ATCA Privacy Policy

    Change Member Details

     

     

    NEW ATCA MEMBERSHIP

    Open a new ATCA membership today by completing the form below, then making the payment through our secure online facility.

    TAX INVOICE
    ABN: 97 023 659 976
    Membership  
    Type:
    Username: Password:
    Members who wish to apply for combined ATCA/TSANZ membership are offered a reduced rate for TSANZ membership fees. You will need to go to the TSANZ website and download a membership application. Please complete and then forward this to the ATCA Treasurer. Click here to go to the TSANZ website (http://www.tsanz.com.au/).
    Read Privacy Policy for ATCA    Read Privacy Policy for TSANZ
    Contact Details
    Last Name: First Name:
    Preferred Title:
    Ms Miss Mrs Mr
    Dr Professor other 
    Address (wk):
    Suburb/City: State:
    Post Code: Country:
    Address (H):
    Suburb/City: State:
    Post Code: Country:
    Mailing Address:   (for Notices and inclusion in the TSANZ Membership Directory)
    Phone (w): Fax:
    Phone (h): Email:
    Industry Details
    Special interests in relation to organ and tissue donation and transplantation:
    Immunobiology of Transplantation:
    Clinical Renal Transplantation:
    Other Clinical Transplantation:
    Educational / Professional qualifications:
    Current Appointments:
    Membership of Other Colleges, Associations, Societies eg: RACS, RACP, ANZSN, ATCA:
    ACTA Proposer
    Name: Email:
    • Proposer must be financial member of ATCA
    • Your application will be considered at the next meeting of the ATCA Executive. Please consult the diary for the exact date.
    • You will be notified about the status of your application following the next meeting of the ATCA Executive.
    2nd Name: Email:
    Payment
    Fees for 2011 are inclusive of GST and in Australian dollars. Please indicate the category you are paying for.

    2011
    • ORDINARY MEMBERSHIP   $82.50
    • ASSOCIATE MEMBERSHIP   $55
    • Combined ATCA/TSANZ MEMBERSHIP   $110
    • 3yr ASSOCIATE MEMBERSHIP   $150
    • 3yr ORDINARY MEMBERSHIP   $220
    PAYMENT DETAILS:
      Please charge
      to the nominated credit card:

      Visa   Mastercard  
    Name on Card:  
    Card Number:  
    Expiry Date:   /
    I agree to abide by the articles of association and by-laws of ATCA, and to pay my annual subscription so long as I remain a member.
    Anti-SPAM Security

    Before submitting this form, please type the color of the second character:

     
    Copyright © 2008 ATCA All rights reserved.  Home | Contact | Links | About Us | News | Membership | Event Diary