Membership and Donation

Complete the form below to join, renew &/or donate.

1. About You

Title
Your First Name
Your Last Name
For Couples Membership
Your Email
Street/PO Box
Suburb
PostCode
State/Territory
Phone
Year of Birth (optional)

2. Type of membership

Type of Membership

*concession rates apply to means-tested pensioners
Are you
Renewing your membershipA New memberMaking a donation

3. Payment Method

Select your payment method
Direct Bank TransferCheque
Date of Bank Transfer

Bank Details:
The email acknowledging your lodgment of this form will contain details of our bank account

Cheques to:
PO Box 55
Waramanga ACT 2611

4. Lodge your completed form

Need a paper based form?

Click here to download a paper form.

Click here to make a Bequest

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