Application for membership of the NSW Rural Doctors Network Ltd

Incorporated under the Corporations Law sub-section 121(1)
ACN 081 388 810 ABN 52 081 388 810

Please complete the following form, or download the hard copy and send or fax it back to:

RDN Board Secretariat
PO Box 1111
MASCOT NSW 1460

Phone: 02 83378100
Fax: 02 83378110
Email: membership@nswrdn.com.au

Applicant Details