Join DWD ACT

Joining Dying With Dignity ACT is easy. Complete the following form to join.

We need your details to enable us to not only send you a receipt, but also to include you in our newsletters and other mailings.

We at DWD ACT are all volunteers and your donation will directly finance our campaigns and activities to further our goals.

DWD ACT On-Line Membership Form
* (denotes required field)

Some useful Information








What type of membership








“concession” rates apply to means-tested pensioners



Payment Method



(Cheques to:
PO Box 55
Waramanga ACT 2611
Direct Bank Transfer details:
BSB 325 185 Account 03415176 Dying With Dignity ACT
Please include your name in the reference field so we know who has made the payment)
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