Australian Naturopathic Practitioners Association

Membership Renewal

* Select your membership type

EARLY BIRD ENDS 25th MAY - pay only $320
OR Pay no later than 30th June - pay only $350

Late fees of $5.50 per month will apply to payments received after August 1st.
A tax receipt will be sent to you once your payment and renewal details have been processed.

Pay no later than 30th June - pay only $235

Late fees of $5.50 per month will apply to payments received after August 1st.
A tax receipt will be sent to you once your payment and renewal details have been processed.

Pay no later than 30th June - pay only $125

Late fees of $5.50 per month will apply to payments received after August 1st.
A tax receipt will be sent to you once your payment and renewal details have been processed.

Pay no later than 30th June - pay only $100

Late fees of $5.50 per month will apply to payments received after August 1st.
A tax receipt will be sent to you once your payment and renewal details have been processed.

EARLY BIRD ENDS 25th MAY - pay only $300
OR Pay no later than 30th June - pay only $320

Late fees of $5.50 per month will apply to payments received after August 1st.
A tax receipt will be sent to you once your payment and renewal details have been processed.

EARLY BIRD ENDS 25th MAY - pay only $320
OR Pay no later than 30th June - pay only $350

Late fees of $5.50 per month will apply to payments received after August 1st.
A tax receipt will be sent to you once your payment and renewal details have been processed.

1st Year Discount - Pay no later than 30th June - pay only $110

Late fees of $5.50 per month will apply to payments received after August 1st.
A tax receipt will be sent to you once your payment and renewal details have been processed.

2nd Year Discount - Pay no later than 30th June - pay only $220

Late fees of $5.50 per month will apply to payments received after August 1st.
A tax receipt will be sent to you once your payment and renewal details have been processed.

* Name

* Membership Number

My contact details have changed since my last renewal.

Address for correspondence

* Street

* Suburb

* State

* Postcode

Practice Address 1 - No PO Boxes

* Phone

* Email

* Street

* Suburb

* State

* Postcode

Practice Address 2 (if applicable) - No PO Boxes

Phone

Street

Suburb

State

Postcode

PLEASE NOTE: if all documentation is not sent with this application your status changes to non-member and your renewal will not be processed.

CPE

Upload a copy of your CPE record form below.

CPE Form (20 Points) - Send completed CPE form ONLY – no copies of attendance certificates.

CPE / First Aid / Insurance

First aid/Insurance/CPE (not required – non-practicing member)
Please note: If you plan to return to full practice please advise the ANPA office immediately.

CPE / First Aid / Insurance

(Supplied to primary association)

First Aid / Insurance

a. Upload a copy of proof of these expiration dates below.
b. Please fill in the expiration dates for your current first aid certificate and insurance policy.

First Aid Certificate

* First Aid Expiry Date

Insurance Certificate

* Insurance Expiry Date

YOU ARE REQUIRED TO UPDATE THE ANPA WITH YOUR INSURANCE AND FIRST AID RENEWALS, REGARDLESS OF TIME OF YEAR.
This ensures that your clients continue to receive rebates from the PHI for your naturopathy services.

First Aid / Insurance

Not required as non-practicing in Australia

Privacy of Information

I hereby authorise the ANPA:

* to list my clinic details and website address on the ANPA website Yes No

* Website Address

* to list my facebook address on the ANPA website Yes No

* Facebook Address

Payment

Pay by PayPal (you can use your Credit Card without a PayPal account)