Carers
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The Board – 2022
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2023 Conference
1800 149 994
Become a Member
Membership Form
Please fill out the form below and submit to become a member.
Membership Type
*
Foster Carer
Kinship Carer
Associate Member
Grandparent caring for grandchildren
Associate Organisation
Associate members have no entitlement to vote or serve on the committee, however can support and pass on knowledge and skills and work alongside committee members.
Membership Cost
*
Couple $10.00
Single $5.00
Please make direct debit deposit and name in reference box:
Bank: ANZ
BSB: 017539
Account Number: 440174952
Membership Cost
*
Organisation $60.00
Please make direct debit deposit and name in reference box:
Bank: ANZ
BSB: 017539
Account Number: 440174952
Your Name
*
Select title
Mr.
Mrs.
Ms.
Prefix
First
Last
Partner's Name
Select title
Mr.
Mrs.
Ms.
Prefix
First
Last
Name of Organisation
*
Name of Spokesperson
*
Address
*
Street Address
Address Line 2
Town / Suburb / City
Postcode
Email
*
Telephone
*
Enter mobile number if you have no landline
Mobile
*
Enter your landline number if you have no mobile
Area
*
South (telephone area code 62)
North (telephone area code 63)
North West (telephone area code 64)
Membership Status
*
Are you a new member
Renewing your membership
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