MEMBERSHIP RENEWAL APPLICATION

MEMBER RENEWAL PRICES 2012 (GST Inclusive)

Ordinary Member $250.00

Registered nurses with an interest in the field of mental health.

Associate Member $200.00

For applicants who have a special interests in the mental health field and who are not otherwise eligible for the Ordinary Member category.

Maternity Leave $150

For applicants who are on maternity leave (maximum of 12 months). Please attach confirmation of maternity leave status from your employer.

Retiree $150

For applicants who are no longer working, or working less than 15 hrs per week.

Student Member $100.00 (maximum 4 years)

For full-time undergraduate nursing students or RNs enrolled in a full-time postgraduate course with relevance to mental health nursing. Evidence of current full-time enrolment must accompany applications and renewals. Other full-time students may apply for special consideration.

Thank you for submitting your details.

	Personal Details Please note: All fields marked with (*) are required. This form will not be accepted without these fields being completed.
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