Industry Membership Application Form

Members of the Australia New Zealand Gynaecological Oncology Group (ANZGOG) represent all areas of clinical practice. They share a vision and desire to make a difference through clinical trials research. Become a member and support ANZGOG’s work and achievements. Membership is free.

An Industry Member is an employee or director of an organisation operating in the Pharmaceutical or a related industry, and is interested in the purpose and objectives of ANZGOG.

As an industry member, you have access to:

First-hand notification of the upcoming Annual Scientific Meeting and ANZGOG events eligible for industry support.
Online registration for the ANZGOG Annual Scientific Meeting.
Opportunities for exclusive sponsorship of ANZGOG.

Industry Membership Application

Title

If other, please specify:

First Name *

Last Name *

Please tick this box if you are NOT living in Australia or New Zealand

International

Country

If other, please specify below:

Address Type

Address Lines

Suburb

State

Postal Code

Email *

Confirm Email *

Phone

Job Title *

Twitter URL

LinkedIn URL

Name of Organisation *

Speciality *

If other, please specify:

Affiliation with ANZGOG

Have you attended an ANZGOG Annual Scientific Meeting?

Yes

If yes, when did you attended an Annual Scientific Meeting?

Additional comments:

DONATE NOW

Engaging the community to help shape our research

Expanding the reach, relevance and impact of our research

Catalysing innovative, practice-changing research

Collaborating locally and globally, sharing expertise and insights

Sustain a vibrant and efficient research organisation

Industry Membership Application Form

Research

Advocacy

Education