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					Categories of Membership                                        Student Membership                                     $66     About AshM
ASHM Membership runs from 1st January to 31st                   Open to:                                                       The Australasian Society for HIV Medicine (ASHM) is the
December. To become an ASHM Member, you must agree              Fulltime students in a health science, medical, research or    peak organisation of health professionals in Australia and
with and will work to further the Objectives of ASHM as         related discipline undertaking study in an area relevant to    New Zealand who work in those areas of health concerned
laid out in the Constitution. All Membership applications       HIV, viral hepatitis, sexual health or related conditions.     with HIV. ASHM draws on its experience and expertise to
require approval from the ASHM Board prior to the                                                                              contribute in the related areas of viral hepatitis and sexual
                                                                Applicants for this Membership category will need his

applicant being granted ASHM Membership.                                                                                       health.
                                                                or her on-going enrolment attested to by an academic
                                                                supervisor or academic advisor.
For full details on Membership categories please review                                                                        ASHM is a key partner in the development of public policies
the website or contact the ASHM office.                                                                                        related to continuing medical education, community
                                                                Sustaining Membership                                 $110

                                                                                                                               prescribing and national treatment guidelines for HIV and
                                                                Open to:                                                       viral hepatitis. We work closely with government, advisory
Ordinary (Voting) Membership                        $110        Individuals or organisations interested in the Objectives of   bodies, community agencies and other professional
Open to:                                                        ASHM and able to support ASHM in the pursuit of these          organisations in Australia and the Asia and Pacific regions.
(i) Medical or health services graduates; or                    Objectives.
(ii) Health care providers; or                                                                                                 As a new Member, you will be joining over 1000 health
(iii) Health policy makers, planners or scientists who work     Organisations applying for Sustaining Membership must          care professionals from a range of specialist interest areas,
      in the HIV, viral hepatitis or sexual health sector; or   nominate a Representative to service the membership.           all sharing the same commitment to achieving the highest
(iv) Employees or volunteers in the HIV, viral hepatitis or     Representatives should complete the personal details           standard of health care delivery for those living with HIV,
      sexual health sector                                      section of the application form.                               viral hepatitis and related diseases.

Full Membership benefits apply including the right to vote      Student and Sustaining Members have access to all ASHM
at meetings, in elections and to hold office.                   Membership benefits with the exception of the rights to:
                                                                (i) Vote at general meetings and elections
                                                                (ii) Hold office
                                                                (iii) Represent ASHM in any way

                                                                                                                                            Australasian Society for HIV Medicine
                                                                                                                                            ABN 48 264 545 457
                                                                                                                                            CFN 17788
                                                                                                                                            ACN 139 281 173

                                                                                                                                            Locked Mail Bag 5057,
                                                                                                                                            Darlinghurst, NSW, 1300 Australia
                                                                                                                                            Telephone: 61 2 8204 0700
                                                                                                                                            Fax:           61 2 9212 2382

                                                                                                                                            Printed (October 2009)
Benefits of Membership
    By Joining ASHM, you can depend on us to provide you
                                                                   Membership Application and Tax Invoice                                                                                             Please complete all sections, cut out the application form, and return to ASHM by
                                                                                                                                                                                                      fax: 02 9212 2382 or post: LMB 5057, Darlinghurst NSW 1300.
    with the following benefits:
                                                                   Personal Details
»   Trusted advice from peers and fellow Members through:          Title                                                                               Preferred Postal Address                                                        Payment Details (please tick one)
                                                                   First name                                                                                                                Suburb                                    (All costs are inclusive of GST)
     Networking opportunities                                                                                                                         State/Territory                       Postcode                                  I would like to apply for:
     Support from an experienced Secretariat                                                                                                          Country                                                                          Ordinary (Voting) Membership                              $110
                                                                   Phone (w)                          (h)
     Access to secure areas on the ASHM website                                                                                                                                                                                        Student Membership                                         $66
                                                                   Mobile                             Fax
»   Access to the latest training, resources and updates                                                                                               student Enrolment Confirmation                                                   Sustaining Membership                                     $110
    through:                                                                                                                                           (for Student Membership applications only)
                                                                   Alternative email (optional)                                                                                                                                        Membership fee $
     Discounted registration to the annual Australasian HIV/                                                                                          I am a fulltime student/trainee which entitles me to Student
                                                                   Degrees/Specialist qualifications (please use abbreviations where
      AIDS Conference hosted by ASHM                                                                                                                   Membership of ASHM.                                                             Optional journal subscriptions:
     Webcasting of major conferences organised by the                                                                                                 Supervisor name:                                                                hIV Medicine
      ASHM Conference, Sponsorship and Events Division                                                                                                                                                                                 Print and electronic copy:      reduced rate $122 (normally $188)
     Member-only publications and up-to-date information:                                                                                                                                                                             Electronic only:                reduced rate $110
      ASHM News (e-newsletter), Journal Club (quarterly                                                                                                Institution:                                                                    Journal of hIV Therapy
      hardcopy publication), regular Email Alerts (targeted to                                                                                                                                                                         Print and electronic copy:          reduced rate $200 (normally $250)
      your nominated areas of interest)                            Position                                                                            Ph:
     Directory of HIV, hepatitis and related services in                                                                                                                                                                              Total for journal subscriptions $
                                                                   Online ASHM membership applications are also accepted at Following approval by the ASHM
                                                                   Board you will be sent confirmation that your application has been successful and the payment receipt
     Free and discounted training courses and seminars
                                                                                                                                                                                                                                        Cheque/Money Order
      contributing to Continuing Medical Education (CME)            As part of your membership, you will receive relevant emails according to your nominated areas of interest. Please indicate your                                   (in Australian dollars, made payable to ‘ASHM’)
      points                                                        professional group and areas that you are especially interested in hearing about.
     Discounted subscription to the following journals: HIV        PrOfEssIOnAl grOuP               ArEAs Of InTErEsT                                                                                                                  Mastercard        Visa           Expiry Date:        /
      Medicine and Journal of HIV Therapy                           (please specify one only)        CONDITIONS                     RESEARCH                             Gay Men/MSM                       Testing & Diagnostics
                                                                        Aboriginal Health              Hepatitis A                     Basic Science                     Governance/Sector Issues          Treatment                   Cardholder’s name
     Free online access to Medline through our OVID gateway            Aid/Development                Hepatitis B                     Biochemistry                      Harm Minimisation                      HBV
     Additional online educational activities in the restricted        Allied Health                  Hepatitis C                     Clinical Trials                   Health Promotion                       HCV
                                                                        Community/ Advocacy            HIV                             Dementia/Neurology                Hepatology                             HIV                    Card no          
      secure area of the ASHM website                                   Community Health               HIV/Hepatitis Co-infection      Epidemiology                      Immunology                             STIs
»   Influence in driving policy and standards in the sector             Dental                         STIs                            Ethics                            Infection Control/OHS             Vaccinations                CCV number        (last three digits on back of card)
    through:                                                            Dietitian                      TB                              Genetics                          Insurance                         Women & Children/PTCT
                                                                        Drug and Alcohol                                               Immunology                        Liver Disease/Liver Cancer
     Participation in advisory committees and the                      Education                                                      Methods & Protocol Design         Medico Legal/Ethics                                           Membership fee (as above)                    $
                                                                        Epidemiology                 EDUCATION                         Microbiology                      Mental Health
      development of public health policy                                                               CME Activities                                                                                                                 Total for journal subscriptions (as above) $
                                                                        General Practice                                               Observational Data                Microbicides
     Voting at the AGM and the opportunity to stand for                Health promotion                Courses/Workshops              Social/Behavioral                 Models of Care - HIV
                                                                                                        E-learning                                                                                                                     Total amount payable                         $
      ASHM Board election - Ordinary (Voting) Members only              Legal                                                          Vaccine                           Models of Care - STI
                                                                        Management/Admin                Mentoring                      Virology                          Models of Care - Viral
     Contribution to the development of guidelines,                    Medical Specialist              Teaching Opportunities         Clinical Education                Hepatitis                                                     Signed:                                      Date:
      standards and Models of Care                                           Gastroenterology           Workforce Development                                            Multicultural Health
                                                                                                        Writing Opportunities                                            Neurology
»   Scholarships, awards and consulting opportunities                        Infectious Diseases
                                                                             Psychiatry                                             SPECIAL ISSUES                       Nutrition                                                       If you would not like your name to be listed in the next
    through:                                                                 Sexual Health                                             Aboriginal & Torres Strait        Ol/Maligancies                  I am an HIV s100 Prescriber
                                                                        Nursing                      INTERNATIONAL                     Islander Health                   Paediatrics                             Community Setting       edition of the ASHM Directory of HIV, hepatitis and related
     Focusing on the needs of new researchers and priority                                             Africa                         Adolescent Health                 Palliative Care                         Hospital Setting        services 
      populations                                                       Pharmaceutical/ Diagnostic      Indonesia                      Ageing                            Pathology/Laboratory
     Teaching, reviewing or writing                                    Pharmacy                        Mekong Delta Region            Aid/Development                   PEP/NPEP/PREP                   I am an HCV s100 Prescriber
                                                                        Policy                          Pacific                        Anal Intraepithelial              Prevention                              Community Setting
                                                                        Public Health                   PNG                            Neoplasia (AIN)                   Psychology/Counselling                  Hospital Setting
                                                                        Registrar                       Timor Leste                    Complementary Therapies           Public Health
                                                                        Research                        HCW Education & Training       Contact Tracing/Partner           Resistance
                                                                        Social Work/ Psychology         Laboratory/Testing Issues      Notification                      Sexual Assault
                                                                        Student/Trainee                 Treatment Access               Correctional/Prison Health        Sexual Health/STI
                                                                        Other                                                          Drug & Alcohol                    Sexuality
                                                                                                                                       Education and Training            Standards/Guidelines

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