Membership Form

Membership Rates for Individuals

Voting Membership + PDCN Bulletin + Email or Posted Newsletter + Discount Vouchers + Opportunity to be a member of the Committee of Management

$10 incl GST for individuals who are not working or who are in part-time work

$20 incl GST for individuals who are in full-time employment

Membership Rates for Organisations

Voting Membership + Emailed Bulletins + Email or Posted Newsletter
$55 incl GST

First Name:

Surname:

Organisation:

Phone Number:

Mobile Number:

Email Address:

Street Address:

Suburb:

State:

The PDCN Constitution requires that 75% of our members must be people with physical disability or the representatives of children under 16 with a physical disability.

Please tick the appropriate boxes below so that we retain accurate information.

Do you have a physical disability?

Yes
No

Are you the representative of a child under the age of 16 who has a physical disability?

Yes
No

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Membership Form

Membership Rates for Individuals

Membership Rates for Organisations