Community Membership Application Form

Community members of the Australia New Zealand Gynaecological Oncology Group (ANZGOG) support the purpose and objectives of ANZGOG. They may also be personally affected by a gynaecological cancer (as patients, survivors or carers), or have an interest in gynaecological cancers, their treatment and prevention.
Become a member and support ANZGOG’s work and achievements. Membership is free.

Community members have access to:

The quarterly ResearcHER e-newsletter with detailed information on ANZGOG trials, news, and opportunities to get involved.
Opportunities to work with ANZGOG on consumer committees.
Information on ANZGOG community engagement events around Australia and New Zealand.
Regular updates on trends and developments in international gynaecological cancer research.
Exclusive fundraising opportunities for ANZGOG.

Community Membership Application

Title

If other, please specify:

First Name *

Last Name *

Country

If other, please specify country:

Address Type

Address Lines

Suburb

State

Postal Code

Email *

Confirm Email *

Phone

Occupation

Twitter URL

LinkedIn URL

Facebook URL

Instagram URL

My interest in joining ANZGOG is:

I am currently a cancer patient

I am a survivor

I am a carer

I am a family member

I work in a cancer organisation

Other

If other, please specify:

Would you like to share any other information to support your application for membership with ANZGOG?

Additional comments:

If you are human, leave this field blank.

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Expanding the reach, relevance and impact of our research

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Sustain a vibrant and efficient research organisation

Community Membership Application Form

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