• Membership Application

    To apply for membership please complete all questions.
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  • Additional GP Owners at this Practice (AGPA membership is also covered by this application - email addresses must be unique)

        
         
      
         
           

          
           
      
         
          

          
             

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    Subtotal   $ 0.00 AUD Tax   $ 0.00 AUD Total   $ 0.00 AUD
  • Membership payments are annual and are due on either 1 April or 1 October (depending on which gives you the longest initial membership period when you join).

    Please make payment to:

    Account Name: Australian GP Alliance

    BSB: 082-902

    Account Number: 24176 6488

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