Your personal details are confidential, and we will never sell your details to any other organisation. For more information, see our privacy policy.
Items marked * are required.
Please select the methods that we can use to send you information about our services and events:
Email Post Text messages (for notice of upcoming events)
Email
Post
Text messages (for notice of upcoming events)
New application Renewal of Membership: Year you first became a member (if known)
New application
Renewal of Membership: Year you first became a member (if known)
Full member $22.00 Volunteer/Concession $11.00 Organisation $33.00
Full member $22.00
Volunteer/Concession $11.00
Organisation $33.00
For those HIV+, payment is waived.
Direct deposit BSB: 112908 Account number: 043419178 Reference: Your name, Membership. Cash (in person at Westlund House) Cheque (by post or in person at Westlund House) Visa or Master Card (by phone or online through Paypal)
Direct deposit
BSB: 112908 Account number: 043419178 Reference: Your name, Membership.
Cash (in person at Westlund House)
Cheque (by post or in person at Westlund House)
Visa or Master Card (by phone or online through Paypal)
I wish to make a donation of $ , donations over $2 are tax deductible.
I have read and I support the objects of the AIDS Action Council.*
