Name: New Membership Application
SKU: 22899
Price: 205.00 AUD
Availability: InStock

Membership Type

Select your BAA Membership Application:

Applicant Details

Surname*

Given Names*

Postal Address*

Suburb*

State*

Postcode*

Date of Birth*

Email*

Landline

Mobile

Clinic 1 Details

Street Address*

Suburb*

State*

Postcode*

Business Phone*

Clinic 2 Details

Street Address

Suburb

State

Postcode

Business Phone

Supporting Documents

Cert IV in Bowen Therapy*

Diploma of Specialised Bowen Therapy*

Cert of Animal BowenCare (as issued by BTA)*

Professional Practitioner Award - Bowtech for Animals*

International Cert of Bowen Therapy ( as issued by BTA)*

Continuing Education (CEUs)

If the period since attaining your qualification is greater than 12 months please attach evidence of any current, relevant continuing education.

First Aid Certificate*

A copy of your current Provide First Aid Certificate - HLTAID003 for Full and Accredited Member. For International Member, the minimum First Aid Certificate required by law in the country of practice.

Professional Indemnity Insurance*

A copy of your Professional Indemnity Insurance - if not currently insured it is a requirement that a copy of PI Certificate be forwarded to the Association within 30 days of receiving notification of acceptance of membership. The minimum Professional Indemnity Insurance requirement is $2 Million per claim (or occurrence)

Payment

Donations

I would like to donate the amount nominated to:

Tom Bowen Legacy Trust Fund (Non tax-deductible)
BAA Research Fund (Non tax-deductible)

Tom Bowen Legacy Trust Fund Donation Amount

BAA Research Fund Donation Amount

Dual Member Additional Fee

Price: $15.00

Product Name

Comments

This field is for validation purposes and should be left unchanged.