User account

Personal

Journal Mailing Address

* Street address:

* City:
* State/Province:
* Country:
* Postal code:
Company:
Phone number:
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: 27/03/2019

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

Username * Spaces are allowed; punctuation is not allowed except for periods, hyphens, apostrophes, and underscores.

E-mail address * A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Confirm e-mail address * Please re-type your e-mail address to confirm it is accurate.

Password *

Confirm password *

Provide a password for the new account in both fields. Password must be at least 6 characters.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

What code is in the image? * Enter the characters shown in the image.

SPUMS Members

Primary tabs