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CoMHWA Membership Application Form
All membership applications are subject to Board approval. Applicants will be advised of the outcome thereafter. Members must be over 16 years of age to join.
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1.
Select your membership category:
(Required.)
Individual members
(free, lifetime membership) - any individual that identifies as having a lived experience of mental health issues
Associate members
(free, lifetime membership - voluntary $30 contribution welcome) - any individual that supports CoMHWA's objectives and does not have a lived experience of mental health issues (no voting rights)
Consumer Group member
(free, lifetime membership - voluntary $10 contribution welcome) - any group with a substantial lived experience committee, e.g. CAG's, who support CoMHWA's objectives
Associate Organisation
(free) - any organisation that support CoMHWA's objectives (no voting rights)
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2.
Enter your contact details:
(Required.)
Full Name (mandatory)
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Organisation (if relevant)
Address Line 1 (leave blank if under 18)
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Address Line 2
Suburb
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State
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Postal Code
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Email Address (mandatory)
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Phone Number
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3.
Are you over 16? Members must be over 16 to be eligible to join.
(Required.)
Yes
No
If over 16 but under 18, please provide your date of birth:
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4.
How did you find out about CoMHWA?
(Required.)
Referral
Email
Internet
Word of mouth
Other (please specify)
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5.
Mandatory check box:
(Required.)
I agree to abide by the Consumers of Mental Health
Constitution Rules, Objectives, Principles and Values.
