Membership Form

Why should I join Grampians disAbility Advocacy Association?

You will be a member of an organisation that is committed to promoting quality of life, human rights and self-advocacy for all people with a disability.

This association is run by a volunteer Board of Governance, made up of people with a disability and community members.

Become a member today

Membership Form

My contact details

Name *

First

Last *

Last

Address

City

State/Province

Zip/Postal

Country

Email *

Phone

Do you have a disability? (you do not need to have a disability to be a member)

Yes

Emergency or support person contact details (optional)

Name

First

Last

Phone

Relationship

Type of membership you are applying for

Member types

Full Membership: You are an individual with an interest in disability. Lived experience is also encouraged. You will have voting rights.

Associate Membership: You are an Organisation or Group with an interest in disability. You will not have voting rights.

Get involved

Do you want us to contact you about being on the Board of Governance?

Yes

Would you like to be contacted about being on an advisory group or committee?

Yes

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Get In Touch Anytime

We understand that people cannot always contact us in business hours. If you would rather contact us after hours you can leave a message on our phone answering machine by phoning 1800 552 272, email us at admin@grampiansadvocacy.org.au or send us a private message via Facebook or Twitter. We will get back to you as soon as we can.

Contact