Cystic Fibrosis Federation Australia CFSA Membership 2018

CFSA Membership 2018

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$25.00

*Name

Member Number

*Email

*Address

*Suburb

*State

*Post Code

*Telephone (daytime)

Telephone (after hours)

Telephone (mobile)

Fax

*I am paying the following CFSA Annual Membership Fees

Adult with CF / Individual membership
Corporate Membership $80 per year +$55.00
Family Membership $40 per year (required if your child with CF is under 18 yrs) +$15.00

*About you

I am a relative (not a parent) of a person with CF
I am a supporter of CFSA (not a parent/relative)
I am an adult with CF
I am the parent/carer of a person with CF

*Can CFSA use any photos taken of you or your family at various CF events in their quarterly newsletter?

Yes, I would be happy for CFSA to use photos of myself or my family taken at various CF events in their quarterly newsletter.

*Agree

I support the objects of the CFSA and I verify my information is correct.

Inclusive of GST where applicable

Quantity *

Description

All members must complete a membership form. Membership benefits include: o Access to Home Care Support o Counselling and referral, Outreach support programs, Support group facilitation o Financial assistance programs o Provision of loan equipment o Copies of RED magazine, RED e-news & the CFWA Annual Report o Free or discounted registration at education forums, conferences and events o Use of our well stocked reference library o Voting rights at the AGM o Access to discount and often FREE entertainment tickets o FREE hospital TV rental

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CFSA Membership 2018