Become a Member

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We understand that the privacy of your personal information is very important. Please review our privacy policy available here before submitting your application which contains further details about our privacy practices, and how you may access the personal information we hold about you and make a privacy complaint.

It is also available in Easy Read here

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 which you can download here.


Required fields *

Your Contact information

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

If you do not have an email address, you must provide your street address in the fields below. *
If you have a landline, please enter it below.
If you have either a second mobile number or landline number, please enter it below.
Please only select postal mail if you require post for accessibility.




We may need to contact you from time to time via your preferred communication method in connection with your membership. We may also contact you to send our marketing communications if you opt-in (see Membership Declaration)
 
 

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

If you are a support worker or guardian of the prospective member and are completing these declarations on behalf of the prospective member, please provide your details:

Membership information

Please review our Membership Prospectus before submitting your application.

These fields are required *

Eligibility

You need to be a person with disability, a resident of Australia, and 18 years old or over.

Privacy Policy

By becoming a member of PWDA, I consent, or my support worker or guardian on my behalf consents, to the collection, use and disclosure (including to third parties) of my personal information, including the sensitive information (including health information, ethnic origin and sexual orientation) and to being contacted, as described in PWDA’s privacy policy available here

Membership Register

Other members of PWDA may contact PWDA requesting information about PWDA’s membership register. We will not provide your membership details unless you provide your consent.

Direct Marketing

Your consent to us contacting you in these ways remains in effect until you elect to opt-out (which you may do at any time).