Membership Application Form

  • Please Note

    Please note this form will be forwarded to the MSIA Committee for consideration. Once approved, an invoice will be sent to you. All members of the Association must have medical or health software products and abide by the Objectives, Code of Practice, Duties of Representatives and MSIA Representation, and the Policy on Data Ownership and Access. Should you have any comments or queries please contact the MSIA Executive Officer by emailing eo@msia.com.au
  • Member Information

  • Qualifying Information

  • Representative Information

    Your main representative will be the first point of call for all MSIA business, notices, invitations and account information.
  • Member Nominees

    Each member category is entitled to a minimum of 5 representatives to be included in all MSIA correspondence. Companies taking a 6 – 25 or 25+ membership type are encouraged to add more personnel by emailing eo@msia.com.au details of other staff members for inclusion.
  • Nominee 1

  • Nominee 2

  • Nominee 3

  • Nominee 4

  • Nominee 5