Membership Application Form

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Please complete this form if you are
Applying for Membership or Renewing your existing Membership.

* denotes required field.

Myasthenic Member

A person who has been given a diagnosis with Myasthenia Gravis. Annual Membership Fee $20.

Paid-up Life Member

This Membership may be purchased by any person, Incorporated Body or Organisation. For details, please contact the Secretary.

Carer Member

A person who carries out a Carer role for a Myasthenic Member. Annual Membership Fee $10.

Associate Member

A person who supports the aims and objectives of the Association. Annual Membership Fee $20.

Personal Details
E.g., 13/12/2017

Your Mobile Number is an Important Communication Tool

If you don't have a mobile number can you please nominate someone close to you who can pass on a message should any important issues arise.

e.g. family member, carer, close friend.

Myasthenic Member
A person who has been given a diagnosis with Myasthenia Gravis. Annual Membership Fee $20.

All applications are considered by Management Committee at first Committee Meeting following receipt of application, and applicants advised soon thereafter.

Membership includes subscription to receive upcoming News and Events directly to your email inbox. If you prefer not to receive this communication, an option to unsubscribe is available at the bottom of these emails.