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RSA Online Registration

Please take a few minutes to complete the form, then click on " Submit " at the end to send your details.

Privacy Act.
The information given on this form is for the use of the RSA to send out newsletters, the diary and other memoranda. This information is kept by the RSA Board of Directors and the RSA Branch to which you belong. The information is not given or sold to any other organisation.

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Your details

Name:

Are you a: (select one)

Current member?
Past member?
New member?

Membership number (if renewing):
Leave blank if unsure.

Postal address

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Suburb or town:

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Postcode ( * if Aust):

Country:

Telephone:

Email:

Workplace:

Position held:

Work phone:

Membership options - please select:
Prices are in Australian dollars

Terms and Conditions

Thank you for your registration for the Renal Society of Australasia. Your membership will be processed as soon as the NAB verifies your payment. This may take up to three days.

You will receive an email from the RSA website stating that your details have been logged. This is not verification of your credit card transaction. Your payment is only successful when you receive an email from the NAB website. This is your receipt of payment.

The NAB email is also suitable for use as your tax receipt as it is accepted by the Australian Taxation Office. Please email the financial officer on if you require a formal invoice/receipt.

Your membership process may take up to four weeks and is attended to by the RSA Financial Officer and RSA Membership Officer.

* Please tick this box to acknowledge that you understand these terms and conditions.
You will not be able to proceed with your payment unless you have
read and understood the Terms and Conditions