Membership

Categories of membership are defined in the Constitution: Ordinary Members, Associate Members, Honorary Members.

The Society currently has about 250 members. Information about Membership can be obtained from the Secretary.
Secretary: Prof Peter Russell, 3 Avon Close, Pymble, NSW 2073 or prussell@dhm.com.au

New membership applications can be made by printing and completing the form below. Send to the Treasurer.
Treasurer: Dr Roy Watson, PO Box 488, North Adelaide, SA 5006 or roywatson@iprimus.com.au

Australian Society for Colposcopy and Cervical Pathology Inc.

ABN 25 773 381 323

APPLICATION FOR MEMBERSHIP

SURNAME ...........................................................................................................................................

FIRST NAME ............................................................................................TITLE................................

QUALIFICATIONS .............................................................................................................................

POSTAL ADDRESS ............................................................................................................................

................................................................................................................................................................

.................................................................................................................................................................

BUSINESS PHONE ( ……)..........................................................

PRIVATE PHONE ( ……)...........................................................

FAX ( ……)..................................................................................

EMAIL ......................................................................................... (For newsletters, etc)

HOSPITAL AFFILIATIONS ..............................................................................................................

.................................................................................................................................................................

STATUS ................................................................................................................................................

(e.g. Gynaecologist, Pathologist, Non-Specialist etc)

SIGNED ……………………………………………………

DATE ………………………………………… PLEASE KEEP YOUR DETAILS UP TO DATE

Australian applicants: Subscription fee (Australian Dollars) Specialists $120 (plus GST). Associate membership, Non-Specialists $100 (plus GST).
New Zealand and Overseas applicants: Subscription fee (Australian Dollars) Specialists $120. Associate membership, Non-Specialists $100
Please make cheques payable to ASCCP and return forms to the TREASURER with cheque. Credit Card facilities also available.
(Fees may be subject to change).