Membership transfer form

Membership transfer form

Dear Podiatry WA contact,

You previously provided consent to transfer your membership from Pod WA to APodA on the condition of a merger between our two organisations.

Now that Podiatry WA will cease operations without a merger we need to re-confirm your consent to accept an APodA membership.

1. Purpose of consent

As you have already provided consent, the personal information provided here will only be used to match your records and confirm your consent to the acceptance of an APodA membership for 2026-2027.

2. Membership acceptance 

By submitting this form, you acknowledge that:

  1. APodA will provide you with a free membership through to 30 June 2026; and,
  2. as part of its annual renewal process the APodA will extend that free membership through to 30 June 2027.

3. Consent

By submitting this form, I confirm that:

  • I consent to becoming a member of the APodA; and,
  • I acknowledge that the APodA will handle my personal information in accordance with its Privacy Policy

4. Your personal information

Please confirm or update your details below: