Membership

You can become a member of Disability Advocacy and Information Service Inc.  Membership is FREE. Download the membership form or join on-line (see below).

DAIS Membership Formtype: pdf | size: 118 kB
Download and print the membership form here. Once the membership form has been completed you can either Fax: 02 6024 6809 or Post: PO Box 982, Wodonga, VIC 3689

Become a member online by filling out the form below.
Please Note: ( Red * ) denotes a required field.

I wish to*:Become a member of DAIS
Renew membership of DAIS
Title*:
First Name*:
Surname*:
Organisation:
Address*:
Town/Suburb*:
Post Code*:
Tel (work):
Tel (home):
Fax:
Email*:
Type of Membership*:Ordinary Member
(Person with disability, carer or consumer organisation representative)

Associate Member
(Service provider representative or other interested person)

Other Notes:
Verification:
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