Membership application


Requested membership: (upon selecting the membership, additional information will be requested.)
Reduced-rate membership: I hereby apply for the Reduced-rate subscription for the year ended 31 December 2018. I submit the following supporting statement for the information of the Council of the Australian Mathematical Society only, and note that I do not qualify for reciprocal membership of other societies while on reduced rate. I am at present in year of my course for the degree of at .
The grounds for my application (if other than the above) are:
(if needed, supporting documentation can be uploaded below).
Details of an AustMS member who knows you and can vouch for the information supplied above:
Name and surnameemail
Free student membership: I hereby apply for the Free student subscription for the year ended 31 December 2018. I submit the following supporting statement for the information of the Council of the Australian Mathematical Society only, and note that I do not qualify for reciprocal membership of other societies while on reduced rate. I am at present in year of my course for the degree of at . My student ID is .

Details of an AustMS member who knows you and can vouch for the information supplied above:
Name and surnameemail
Early career membership:I hereby apply for Early Career membership of the Australian Mathematical Society. I upload a scan of my most recent degree certificate (see "supporting documentation" below).
Reciprocal membership: I hereby apply for Reciprocal membership of the Australian Mathematical Society. I am at present a financial member of the following society: (state a Society with AustMS reciprocity agreement).
Education membership: I hereby apply for Education membership of the Australian Mathematical Society. I am at present a financial member of the following society:
AAMTMERGA
Institutional membership: Our institution, , hereby requests Membership of the Australian Mathematical Society as an Institutional Member.
Name and position of authorising officer: .
Life membership: I am over 55 years of age and I have retired from employment.

Personal details:
TitleFirst & middle names*Surname*
Position*: Employer*:
Mathematical fields:(please use the numbers provided in this page.)
Degrees & diplomas:

Contact details:
Address*:postcode*:
phone*faxemail*

Sponsor: (must be an AustMS member)
TitleFirst & middle names*Surname*Email*
Tick this box if you would like the AustMS treasurer to be your sponsor:

I want to become a member of the following divisions/special interest groups (some memberships may incur extra fees, see the membership webpage):
ANZIAM:yesno
ANZAMP:yesno
Women in Mathematics:yesno
Australian Algebra Group:yesno
Mathematics Education:yesno
Number Theory Down Under:yesno
Applied Probability:yesno
Mathematics of Computation & Optimisation:yesno

I would like to receive the AustMS gazette in the following form:onlinepaper
Gazette: free student members are only eligible for an online copy of the Gazette. If you want the paper option, please apply for reduced-rate membership.

I hereby declare that I accept the obligations of membership of the Australian Mathematical Society, to further and foster the aims and objectives of the Society and to abide by the Constitution of the Society.
Additional comments:
Supporting documentation (<2MB):

Contact: membership@austms.org.au

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