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Membership Form

You can join CPSA online by filling in the form below and using your credit card or Paypal account.  Or, if you prefer, download and fill in the membership form below and send with your membership fee of $12 to Level 9, 28 Foveaux St, Surry Hills  NSW  2010.

Download: Membership form [Word Document - 723 KB]

Download: Membership form [Adobe Acrobat PDF - 194.53 KB]

If you belong to an organisation and would like information about how your organisation can affiliate with CPSA or become a Branch of CPSA, please call CPSA on (02) 9281 3588.

Membership form

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Would you like any further information




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Title(s) (*)

Please include your title eg Mr Mrs Ms Dr etc

First Name(s) (*)

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Middle Name(s)

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Surname(s) (*)

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Email Address

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Phone (*)

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Postal Address (*)
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Suburb (*)

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State or Territory (*)

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If you know when you joined CPSA, please note it here:

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CPSA Agreement (*)

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If Applicable: Attach copy of CPSA Executive Exemption

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I am a Branch Life Member



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If Yes, of which Branch are you a Life Member

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I am an Association Life Member



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If Yes, in which year did you become an Association Life Member

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Membership or Subscription Fee (*)

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Would you like to make a donation?

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CPSA Info Line

1800 451 488 

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