AVA Membership Application Form

This application form is valid from 1 April 2014 until 30 June 2015. All prices are inclusive of GST.
 
For information on AVA membership fees please go to http://www.ava.com.au/fees.
 
This application form is for veterinarians with a qualification recognised for registration in Australia, or for students enrolled in a recognised Australian University in Veterinary Science. If you do not fall into either category, please submit a query via members@ava.com.au.
 
All mandatory fields are marked with a red asterisk

PERSONAL INFORMATION



Please note that all correspondence will be directed to the primary email address, these include newsletters, renewals and voting information
Please enter an alternate email address, particularly if you have provided a work or university email address as your Primary email

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