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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