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

Suitable file formats for uploading documents are: PDF, JPG and PNG

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. There is the option to upload further CEU docs below, if required.

Continuing Education (CEUs) Field 2

Continuing Education (CEUs) Field 3

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

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