asms/TEU mEMBERSHIP FORM Join ASMS and TEU 1Personal Information2University workplace3Te Whatu Ora workplace4Subscription PERSONAL INFORMATIONFirst name(Required) Middle name(Required) If you do not have a middle name please put N/ASurname(Required) HiddenTitle(Required) Mr/Mrs/DrPreferred first name/known as(Required) Gender(Required) Female Male Gender Diverse Prefer not to say Date of birth(Required) MM slash DD slash YYYY Ethnicity(Required)Please selectNZ MāoriNew Zealand European / PakehaAfricanAmericanAsianAustralianBritish & IrishCambodianChineseCook Island MāoriDutchFijianFilipinoFrenchGermanGreekIndianItalianJapaneseKoreanLatin American / HispanicMiddle EasternNiueanPolishSamoanSoutheast AsianSri LankanTokelauanTonganVietnameseOtherOther Ethnicity IwiPlease selectMuaūpokoNgā PuhiNgā RauruNgā RuahineNgā RuanuiNga TaiNgāi TahuNgāi Te RangiNgāti ApaNgāti AwaNgāti HauāNgāti HuiaNgāti KahuNgāti KahungunuNgāti KoataNgāti KuiaNgāti MahutaNgāti MahutaNgāti MamoeNgāti ManiapotoNgāti MaruNgāti MutungaNgāti PaoaNgāti PorouNgāti RanginuiNgāti RāruaNgāti RaukawaNgāti RuapaniNgāti TaiNgāti TamaNgāti Tama KopiriNgāti TāmanuhiriNgāti TamaterāNgāti Te AtaNgāti TūtekoheNgāti TūwharetoaNgāti WhanaungaNgāti WhātuaNgāti Whātua ki TāmakiRangitāneRongo WhakaataTaranakiTe Aitanga-ā-HautiTe Aitanga-ā-MākakiTe ArawaTe Āti AwaTe Āti HauTe AupouriTe RarawaTūhoeWaitahaWhakatoheaWhānau-a-apanuiOther IwiOther Iwi IwiPlease selectMuaūpokoNgā PuhiNgā RauruNgā RuahineNgā RuanuiNga TaiNgāi TahuNgāi Te RangiNgāti ApaNgāti AwaNgāti HauāNgāti HuiaNgāti KahuNgāti KahungunuNgāti KoataNgāti KuiaNgāti MahutaNgāti MahutaNgāti MamoeNgāti ManiapotoNgāti MaruNgāti MutungaNgāti PaoaNgāti PorouNgāti RanginuiNgāti RāruaNgāti RaukawaNgāti RuapaniNgāti TaiNgāti TamaNgāti Tama KopiriNgāti TāmanuhiriNgāti TamaterāNgāti Te AtaNgāti TūtekoheNgāti TūwharetoaNgāti WhanaungaNgāti WhātuaNgāti Whātua ki TāmakiRangitāneRongo WhakaataTaranakiTe Aitanga-ā-HautiTe Aitanga-ā-MākakiTe ArawaTe Āti AwaTe Āti HauTe AupouriTe RarawaTūhoeWaitahaWhakatoheaWhānau-a-apanuiOther IwiOther Iwi EthnicityPlease selectNZ MāoriNew Zealand European / PakehaAfricanAmericanAsianAustralianBritish & IrishCambodianChineseCook Island MāoriDutchFijianFilipinoFrenchGermanGreekIndianItalianJapaneseKoreanLatin American / HispanicMiddle EasternNiueanPolishSamoanSoutheast AsianSri LankanTokelauanTonganVietnameseOtherOther Ethnicity IwiPlease selectMuaūpokoNgā PuhiNgā RauruNgā RuahineNgā RuanuiNga TaiNgāi TahuNgāi Te RangiNgāti ApaNgāti AwaNgāti HauāNgāti HuiaNgāti KahuNgāti KahungunuNgāti KoataNgāti KuiaNgāti MahutaNgāti MahutaNgāti MamoeNgāti ManiapotoNgāti MaruNgāti MutungaNgāti PaoaNgāti PorouNgāti RanginuiNgāti RāruaNgāti RaukawaNgāti RuapaniNgāti TaiNgāti TamaNgāti Tama KopiriNgāti TāmanuhiriNgāti TamaterāNgāti Te AtaNgāti TūtekoheNgāti TūwharetoaNgāti WhanaungaNgāti WhātuaNgāti Whātua ki TāmakiRangitāneRongo WhakaataTaranakiTe Aitanga-ā-HautiTe Aitanga-ā-MākakiTe ArawaTe Āti AwaTe Āti HauTe AupouriTe RarawaTūhoeWaitahaWhakatoheaWhānau-a-apanuiOther IwiOther Iwi IwiPlease selectMuaūpokoNgā PuhiNgā RauruNgā RuahineNgā RuanuiNga TaiNgāi TahuNgāi Te RangiNgāti ApaNgāti AwaNgāti HauāNgāti HuiaNgāti KahuNgāti KahungunuNgāti KoataNgāti KuiaNgāti MahutaNgāti MahutaNgāti MamoeNgāti ManiapotoNgāti MaruNgāti MutungaNgāti PaoaNgāti PorouNgāti RanginuiNgāti RāruaNgāti RaukawaNgāti RuapaniNgāti TaiNgāti TamaNgāti Tama KopiriNgāti TāmanuhiriNgāti TamaterāNgāti Te AtaNgāti TūtekoheNgāti TūwharetoaNgāti WhanaungaNgāti WhātuaNgāti Whātua ki TāmakiRangitāneRongo WhakaataTaranakiTe Aitanga-ā-HautiTe Aitanga-ā-MākakiTe ArawaTe Āti AwaTe Āti HauTe AupouriTe RarawaTūhoeWaitahaWhakatoheaWhānau-a-apanuiOther IwiOther Iwi Preferred email(Required) This is the email ASMS will use for all correspondenceAlternative email Mobile number Address(Required) Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country HiddenPreferred mailing address Home address Work address Speciality(Required)Please selectNot knownACC AdvisorAccident & Medical PracticeAnaesthesiaCardiothoracic surgeryClinical GeneticsDentistryDermatologyDiagnostic & Interventional RadiologyEmergency MedicineFamily Planning & Reproductive HealthGastroenterologyGeneral PracticeGeneral SurgeryGeriatric MedicineImmunologyInfectious Diseases MedicineIntensive Care MedicineMedical AdministrationMedical OncologyMedicineMusculoskeletal MedicineNeurosurgeryObstetrics/GynaecologyOccupational MedicineOphthalmologyOral & Maxillofacial SurgeryOrthopaedic SurgeryOtolaryngologyPaediatric surgeryPaediatricsPalliative MedicinePathologyPlastic & reconstructive surgeryPsychiatryPublic Health MedicineRadiation OncologyRehabilitation MedicineResearch/Clinical TrialsRespiratory MedicineRural Hospital MedicineSexual Health MedicineTestingUrgent CareUrologyVascular surgeryAnaesthesia SubSpecialityPlease selectGeneralIntensive CarePaediatricPain MedicineDentistry SubSpecialityPlease selectCommunityHospitalMedicine SubSpecialityPlease selectCardiologyEndocrinologyGeneral/InternalHaematologyNuclearNephrologyNeurologyRheumatologyPsychiatry SubSpecialityPlease selectChild and AdolescentCommunityForensicGeneralPsychogeriatricsPaediatrics SubSpecialityPlease selectCardiologyGeneralNeonatologyNeurologyOncologyPathology SubSpecialityPlease selectAnatomic/HistopathologyChemical PathologyForensic PathologyGeneralHaematologyDo you earn less than $120,000 per annum in total salaried earnings?(Required) Yes No Salary(Required)Salary Step(Required)Please select step123456789101112131415If you are unsure of your salary step, please select step 1University commencement date(Required)Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920this might be confusing - employment date for which employer? is this in the right place, do we need it per employer?HiddenDate Joined DD slash MM slash YYYY Practice type(Required) Medical Specialist Medical Officer General Practitioner Dental Specialist Dental Officer Are you an NZDA Member?(Required) Yes No What is your NZDA member number Universtiy workplaceWhich University are you employed with?(Required) Auckland University Otago University Campus(Required) Department(Required) Position(Required) Weekly University Hours(Required)Are you already a TEU member?(Required) Yes No What is you TEU membership number? ASMS will represent members for individual and departmental matters arising in your work, any secondment or purchase of your time by Te Whatu Ora. TEU will represent members in all matters relating to your university employment.HiddenWorkphone HiddenWorkplace Address Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Te Whatu Ora WorkplaceHospital Employer(Required)Please selectTe Whatu Ora - Capital, Coast & Hutt ValleyTe Whatu Ora - Counties ManukauTe Whatu Ora - Hauora A Toi Bay of PlentyTe Whatu Ora - Health New ZealandTe Whatu Ora - LakesTe Whatu Ora - Nelson MarlboroughTe Whatu Ora - South CanterburyTe Whatu Ora - SouthernTe Whatu Ora - TairāwhitiTe Whatu Ora - TaranakiTe Whatu Ora - Te Matau a Māui Hawke's BayTe Whatu Ora - Te Pae Hauora o Ruahine o Taraua MidCentralTe Whatu Ora - Te Tai o Poutini West CoastTe Whatu Ora - Te Tai Tokerau (Northland)Te Whatu Ora - Te Toka Tumai AucklandTe Whatu Ora - WaikatoTe Whatu Ora - WairarapaTe Whatu Ora - Waitaha CanterburyTe Whatu Ora - WaitematāTe Whatu Ora - WhanganuiYou have selected Health New Zealand as your employer, if you work for a Te Whatu Ora district eg Taranaki, please go back and select your districtTe Whatu Ora - Te Toka Tumai Auckland Workplace(Required)Please selectAuckland Regional Public Health ServiceStarship Children's HealthAuckland City HospitalAuckland Mental Health ServiceNational Women's HealthWestKids ServiceGreenlane Clinical CentreTaylor Centre (ADHB)Buchanan Rehabilitation ServiceLaboratory Services - Wellington HospitalSt Lukes Community Mental Health CentreCommunity Mental Health AucklandManaaki HouseLabplusOral Health Unit - MiddlemoreAuckland Community Health ServiceMedlab Central (via ADHB)Segar HouseAnatomical Pathology ServiceOtherTe Whatu Ora - Hauora A Toi Bay of Plenty Workplace(Required)Please selectTauranga HospitalWhakatane HospitalToi Te Ora TaurangaTe Kaha Medical CentreOtherTe Whatu Ora - Waitaha Canterbury Workplace(Required)Please selectAshburton HospitalBurwood HospitalCanterbury Health LaboratoriesChild & Family Guidance CentreChild & Family ServiceChristchurch Womens HospitalChristchurch HospitalPrincess Margaret HospitalHillmorton HospitalWaikari HospitalCommunity & Public Health CanterburyChristchurch Radiology GroupAkaroa Health CentreCommunity Alcohol & Drug Service CanterburyEast ACPSPrincess Margaret Hospital - Corporate OfficeNorth Adult Psychiatric Services (CDHB)Oral Health Centre (CDHB)West Adult Community Psychiatric ServiceEllesmere HospitalChild & Family Speciality ServicesOtherTe Whatu Ora - Te Matau a Māui Hawke's Bay Workplace(Required)Please selectHawke's Bay Fallen Soldiers' Memorial HospitalNapier HospitalWaipukurau HospitalWairoa HospitalCentral Hawke's Bay Health CentreChatham Island HospitalNapier Health CentreOtherTe Whatu Ora - Capital, Coast & Hutt Valley Workplace(Required)Please selectHutt HospitalCommunity Mental Health - HuttCommunity Dental Clinic - Whai OrangaCommunity Mental Health Service - Hutt NorthKenepuru HospitalTe Korowai WharikiPuketiro CentreWellington HospitalSouth Community Mental Health Team (CCDHB)Kapiti Mental Health TeamHutt North Community Mental Health TeamWellington Womens HospitalCAMHS - Pember HouseRegional Personality Disorder Service (CCDHB)Wellington Community Mental Health TeamCentral & Southern Regional Genetics ServiceRegional Forensic Psychiatry Service NapierHealth PasifikaWellington Child & Adolescent MHSSpecialist Maternal Mental Health ServiceHutt Hospital (contract with CCDHB)CMH - Hutt (contract with CCDHB)Hutt South Community Mental Health TeamCentral Regional Eating Disorder Service (CREDS)Napier Health Centre (Contract with CCDHB)OtherTe Whatu Ora - Lakes Workplace(Required)Please selectRotorua HospitalTaupo HospitalOtherTe Whatu Ora - Te Pae Hauora o Ruahine o Tararua MidCentral Workplace(Required)Please selectHorowhenua HospitalKimberley CentrePalmerston North HospitalPublic Health Unit (MidC)Community Mental Health Mid CentralOtherTe Whatu Ora - Nelson Marlborough Workplace(Required)Please selectNelson HospitalNgawhatu HospitalWairau HospitalMotueka Community HospitalWitherlea HouseAlexandra HospitalOtherTe Whatu Ora - Te Tai Tokerau (Northland) Workplace(Required)Please selectBay of Islands HospitalKaitaia HospitalWhangarei HospitalMid-North Community Mental and Addiction ServicesNorthland Intensive Community TeamTe Roopu KimioraDargaville HospitalTe Roopu WhitioraOtherTe Whatu Ora - Counties Manukau Workplace(Required)Please selectAwhinatia HealthLeyton HouseMangere Health CentreMangere Refugee CentreMiddlemore HospitalOtara Spinal UnitMatarikiCounties Manukau Board OfficeManukau Community Mental Health CentreWhirinakiManukau Super ClinicKidz First Children's Hospital & Community HealthHartford House (CMDHB)Te Rawhiti Community Mental Health CentreWhakatipu OraBreastScreen Counties ManukauAuckland Spinal Rehabilitation UnitThe Cottage CMHCPukekohe HospitalTamaki Oranga Recovery CentreOtherTe Whatu Ora - Taranaki Workplace(Required)Please selectHawera HospitalTaranaki Base HospitalLabCare PathologyOtherTe Whatu Ora - Waikato Workplace(Required)Please selectTaumarunui HospitalTe Kuiti HospitalThames HospitalTokoroa HospitalWaikato HospitalWaikato Mental Health ServicesMatariki Hospital, Te Awamutu,Community Health Services WaikatoPublic Health Unit HamiltonAdult Mental Health & Addiction Services WaikatoOtherTe Whatu Ora - Waitematā Workplace(Required)Please selectAuburn CentreMason Clinic Regional Forensic Psychiatry ServicesNorth Shore HospitalWaitakere HospitalRegional Alcohol & Drug Services (WDHB)WaimarinoCADS AucklandClare Cottage (MHSOP)North Shore Community Mental HealthRodney Adult Mental Health ServiceThe Wilson CentreTohu WairuaCommunity Alcohol & Drug Service WaitemataCADS NorthOtherTe Whatu Ora - Whangnaui Workplace(Required)Please selectCommunity Mental Health WhanganuiJubilee HospitalWhanganui HospitalWai O HineRangitikei Health CentreOtherTe Whatu Ora - Te Tai o Putini West Coast Workplace(Required)Please selectTe Nikau, Grey Hospital & Health CentreBuller Health Medical CentreGreymouth Medical Centre and Dobson ClinicReefton Medical CentreHokitika Health CentreBuller HospitalOtherDepartment(Required) Weekly Te Whatu Ora Hours(Required)HiddenWorkphoneHiddenHospital Workplace Address Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country SubscriptionCurrently our subscription is $1,200.00 per anum (pro rata for partial year). Our financial year ends on 31 March. Reduced subscriptions are available for members who earn less than $120,000 per annum. In these cases the subscription is calculated at 1% of the salaried earnings, the minimum being $100.00.SubscriptionSubscriptionAuthorisation(Required)I authorise ASMS to collect fees on behalf of TEU and share this information with TEU in order to also become a TEU member (WORDING TO BE REVISED/AMENDED/CHECKED) DO YOU AGREE TO THE ABOVE? Yes, I agreeAuthorisation(Required)In accordance with TEU policy, I agree that the TEU is not obliged to act on my behalf in any matter that arose prior to this application. DO YOU AGREE TO THE ABOVE? Yes, I agreeCAPTCHA
