Full membership (12 months) Price: $100 First Name:* First Name Required Last Name:* Last Name Required Address Line 1:* Address Line 1 is Required Address Line 2: Address Line 2 is not valid City:* City is Required Country:* Country is Required -- Select Country -- Australia Afghanistan Åland Islands Albania Algeria Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belau Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba CuraÇao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Republic of Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Norway Oman Pakistan Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Martin (Dutch part) Saint Pierre and Miquelon Saint Vincent and the Grenadines San Marino São Tomé and Príncipe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia/Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom (UK) United States (US) Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Western Samoa Yemen Zambia Zimbabwe State/Province:* State/Province is Required Zip/Postal Code:* Zip/Postal Code is Required Home Telephone: Home Telephone is not valid Mobile Telephone: Mobile Telephone is not valid Work Telephone: Work Telephone is not valid Profession: Profession is not valid Academic Qualifications: Academic Qualifications is not valid Fellowships (if any): Fellowships (if any) is not valid Professional Memberships: Professional Memberships is not valid Completed Wilderness and/or Expedition Medicine Courses and Years:: Completed Wilderness and/or Expedition Medicine Courses and Years: is not valid Relevant Wilderness and/or Expedition Medicine Experience: Relevant Wilderness and/or Expedition Medicine Experience is not valid Why are you interested in joining AWEMS?: Why are you interested in joining AWEMS? is not valid In addition to your professional skills, what other skills might you be able to offer in support of AWEMS activities?: In addition to your professional skills, what other skills might you be able to offer in support of AWEMS activities? is not valid What areas of Wilderness and/or Expedition Medicine are you mainly interested in? (Tick as many as apply): What areas of Wilderness and/or Expedition Medicine are you mainly interested in? (Tick as many as apply) is not valid Aeromedical Retrieval Alpine Rescue Aquatic Activities Aviation Medicine Disaster Medicine Diving Medicine Education/Outreach Expedition Medicine Military Medicine Mountain Medicine Polar Medicine Psychosocial Remote Medicine Rural Medicine Ski Patrol Space Medicine Sports/Endurance Telemedicine Tropical Medicine Wilderness Medicine I desire to become a member of the Australasian Wilderness and Expedition Medicine Society Inc. (the Association). I support the purposes of the Association and, in the event of my admission as a member, I agree to be bound by the Rules of the Association for the time being in force. Upload Student Membership Here: Upload Student Membership Here is not valid Email:* Invalid Email Password:* Invalid Password Password Confirmation:* Password Confirmation Doesn't Match Password Strength Password must be "Strong" or stronger Have a coupon? Coupon Code: Invalid Coupon Coupon applied successfully Payment via Paypal - Membership/Invoice/receipt available immediately Payment via Invoice Please allow up to 3 days to receive invoice via email. Once payment has been received, AWEMS membership will be activated. Receipt available through membership portal. No val Please fix the errors above