CPCA Membership Application

Membership Fee: $825.00 (GST Inclusive) – Paid on application.
Click here to view the Membership Information Booklet.
Your application is subject to approval/acceptance by the Membership Committee.
Please allow up five business days for a response. Thank you.

  • Type of Applicant

  • Please select ONE from the list below:
  • Select an option from the drop-down list below.
  • Applicant's Details

    Personal details must match the record contained within AHPRA Medical Register. Click HERE to check.
  • PRIMARY CONTACT DETAILS

    These details are NOT published anywhere.
  • If applicable.
  • Accepted file types: jpg, png, pdf, gif, Max. file size: 5 MB.
  • Processing of application may be delayed where this is missing. Do not go to any expense. This image will NOT be published anywhere.
    Accepted file types: jpg, png, pdf, gif, Max. file size: 5 MB.
  • MEMBERSHIP FEE PAYMENT - $825.00

    Receipt and paid tax invoice will be provided via return email.

    Payment options:


    Option #1: Credit card payment

    Visa or Mastercard only. American Express is not accepted.
    Provide card details below.
  • $825 + $14.85 = $839.85 Inclusive of GST
    Price: $ 839.85
  • Membership fee + credit card payment fee
    $ 0.00
  • Option #2: Bank Transfer

    BSB # 306-089
    ACCT # 343-239-3
    NAME: Cosmetic Physicians College of Australasia
  • If you paid via bank transfer, please provide bank processing reference number here and upload bank transaction receipt below.
  • Accepted file types: jpg, png, pdf, gif, Max. file size: 5 MB.
  • Applicant's Declaration

    Please provide signed declaration form that can be found HERE. Thank you.
  • Accepted file types: jpg, png, pdf, gif, Max. file size: 5 MB.
  • Please ensure that you have answered all the required fields and uploaded all the required documents before clicking the "Submit" button.