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Note: to be eligible for FULL WHTA Membership you need to be either

- Registered Physiotherapist

- Registered Medical Practitioner (doctor)

- Student Physiotherapist in the final year of your qualification degree

Don't Qualify???

FULL MEMBERSHIP - Application Form  (AUD$99 GST incl)

Note: Please only use this form if you wish to become a Member without enrolling in a course. If you plan to enrol in a course you can select to become a Member on the course enrollment form.

Name (Last Name, First Name)*

Professional Declaration: I declare that I am a

Country of Physiotherapy / Medical Registration*

Registration Number eg Australian AHPRA (Students please list your University & Student Number)*

Email Address*

Mobile Phone Number

Home Address (Number and Street)

Suburb, State, Postcode*

I wish to pay my Membership Fee by:

Become a WHTA Full Member

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