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AMA Tasmania Membership Application HOW TO APPLY: Complete this form and send to 147 Davey Street Hobart or fax to[removed]or call our membership team on[removed]I hereby apply to be elected a member of the Aus
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Document Date: 2014-12-17 19:57:18


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Company

AMA Tasmania / MasterCard / Australian Medical Publishing Company / Australian Medical Association Ltd / Australian Medical Association Tasmania Limited / /

Currency

USD / /

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Event

Employment Change / /

Facility

Hospital Name / /

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Organization

Board of AMA Tasmania / AMA Membership Number Current / DHHS Salary Deduction Authority / /

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Position

Professor / Associate Professor / member / /

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