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I have collaborated in a peer reviewed published manuscript pertaining to cutaneous oncology and hence request my annual fee be waived.

If you have collaborated in a manuscript as above, please detail the title, journal name and publication date.

I will pay $100 for my ACCO membership by:* Direct credit to ACCO Bank Account. BSB 063504 Account 10460819. - Please ensure your initial & family name is included in the transfer reference

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My level of ACCO membership is:* FACCOAssociate FellowHolder of ACCO certificate in Skin Cancer SurgeryOrdinary member of ACCOI wish to apply for Associate Fellow of ACCO based on equivalent qualification elsewhereI wish to apply for Fellow of ACCO based on equivalent qualification elsewhereOrdinary member with certification in skin cancer surgery based on equivalent qualification elsewhere

If seeking an ACCO qualification level based on equivalent elsewhere, please provide details

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