* 1. (Not yet a member?

People who have a disability and live in the Canberra region can join PWD ACT for FREE by filling in this online form:
www.pwdact.org.au/index.php/join-us )

Your name:

* 2. Your email address:

* 3. Your phone number:

* 4. PWD ACT would like to feature the voices, stories and perspectives of our members prominently in  various communications over the next year.  For instance e-news, the website, submissions etc. 

Our Projects Officer would always contact you to discuss including your words in a particular format or context.

* 5. Tell us a little bit about yourself:

* 6. What disability issues are you most passionate about?

* 7. What are the most frustrating barriers that you encounter as a person with disability living in the Canberra region?

* 8. Tell us about a time you complained about a lack of access or inclusion or wanted to make a complaint:

* 9. Tell us about a time you stood up for your rights or advocated for something to change:

* 10. Tell us about a positive experience you have had in Canberra recently
(for instance a time when you witnessed inclusion in action, or found an ACT service or resource to be accessible/responsive to your needs):