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Journal Mailing Address

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* City:
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Company:
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Save as:	Enter a name for this address (e.g. Home or Work)
Default shipping address:	Use as my default shipping address
Default billing address:	Use as my default billing address

Professional Information

Approved Course	Completion Date
Approved Course	Completion Date Format: 19/02/2020

I Agree To have my name published in the SPUMS Diving Doctors List, (If you do not agree to this, do not tick this box), I confirm that the information and contact details that I have supplied for the diving doctors list are correct, and that I am responsible for maintaining accuracy of my details. I agree to have my Diving Medical Practice(s) details published and publicly accessible on the SPUMS website. I acknowledge that if I do not renew my SPUMS membership, my name and practice details will be deleted from the diving doctors list. I acknowledge that I can apply to remove my name from the DDL at any time, by emailing to admin@spums.org.au. I confirm that I am current with my continuing medical education.

SPUMS Account

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