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RAN Town Hall Meeting – RAN Member Access Only

RAN Town Hall Meeting

A RAN Member Online Meeting

If you are interested in this webinar, please purchase it below. Alternatively, click here to purchase a RAN Member subscription and have access to all courses and webinars, including future webinars!

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RECONNECT NETWORK MEMBERSHIP AGREEMENT
Please note: Member's practice telephone numbers, addresses, email, and locations will be used for the website and marketing purposes.
PRINCIPLE AUDIOLOGIST/ACOUSTICIAN
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    Primary Practice Information
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    Professional Membership (please tick)
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    Secondary Location Information
    Please complete if your practice has more than one location
    2. Additional Location Practice Information
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    6. Additional Location Practice Information
    Practice Information - Services and Equipment
    Services Offered
    Please tick all relevant information to help facilitate the development of our database for collegial referrals.
    Equipment Available in Your Practice
    If you ticked yes to other specialised equipment above, please mention them here.
    Please upload a digital copy of your signature below. Your signature will be added to your contract and emailed back to you. Please upload a JPG, PNG or PDF file no larger than 10MB.
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    RECONNECT NETWORK MEMBERSHIP AGREEMENT (Please Download and Read)
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    By submitting the above form, I acknowledge that my tick of acceptance serves as my legally binding signature and that I have thoroughly reviewed, understand and accept the Reconnect Audiology Network terms of service.
    Please note that your membership approval remains subject to the consent of shareholders. If your membership is rejected, your access will be revoked and any payment will be returned.
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