Become a Member

Our AGM processes are now underway which means our rolls are closed. Your membership application will be processed after the AGM has been completed on 10 November 2021.

Please note that this membership form will time-out after 24 minutes. If you need more time to complete an application, please use our PDF form

Total Amount
Membership Form

Your Contact Information

These questions are about who you are and how best to contact you.

If you do not have an email, please enter 'do not have'
If you do not have a mobile please type ‘do not have’.
Please only select postal mail if you require post for accessibility.




 
 

About You

The following section asks some questions about you, which will assist us in providing information to our members as well as assist our advocacy work. Most of these questions are completely optional. Please know this information will be kept confidential and in accordance with our privacy policy.
  
 
Please select all that apply
Daily Media Round-up
You will receive an email each weekday with a daily list of the latest disability related news from Australia and the World.
PWDA Media
You will receive PWDA media releases and other media alerts as they are sent
PWDA Newsletter
You will receive the PWDA newsletter which is usually sent out twice a month.

Membership Declaration

Please review our privacy policy and our membership prospectus before submitting your application. These fields are required.
Payment Options
 
[x] Individual Membership Application - no payment