Membership form

Centre for Developmental Disability Studies

CDDS MEMBERSHIP APPLICATION FORM

Please use block letters if sending by mail or FAX

Please mail to CDDS Membership,
PO Box 6, Ryde NSW 1680 AUSTRALIA
or
FAX - (02) 9807 7053

I am interested in becoming a Member of CDDS and support its mission

The Memorandum and Articles of Association of CDDS provide for ordinary members (individual or organisations), Membership entitles persons to vote at Annual General Meetings, seek election to the Board of Directors, receive newsletters and discounts to The Centre's activities and publications.

Do not send credit card details via the internet or email. This page is not secure.
Print this page and fax or mail it. Alternatively you can phone your credit card details through to (02) 8878 0500

*A reduced membership rate of $5.00 –p.a. is payable by individuals or families in receipt of a Disability Allowance

CDDS Membership for Individuals

**Individual Membership Form**
Item	Your details
Membership	Individuals *$66 (inc GST) (Organisations see below)
Newsletter only	No Charge
Title:	ie Mr, Ms, Dr, Prof
Last name:
First name:
Address:
Post code:
Phone:
Fax:
Email:
Credit Card Number (Membership only)	FAX or Mail only!! ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Exp.Date ....../......

CDDS Membership for Organisations

Item	Organisation details
Membership	Organisation $275 (inc GST)
Name of Organisation:
Contact Person:	Contact Name
Title:
Last name:
First name:
Address.
Post code:
Phone:
Fax:
Email:
Credit Card Number (Membership only)	FAX or Mail only!! ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Exp.Date ....../......