Membership Application Form

On this page you will find our full membership application form that can be completed on-line.

Membership of the ABF is $5,500 per year. Please complete this form and use the submit button.
Full name of organisation:*
Type of Organisation:*
(e.g. rehabilitation provider, service provider, consumer organisation)
ABN:*
Enter your Australian Business Number
Postal Address:
Street Address:*
Street address of organisation
Telephone:*
Best phone number for contact
Mobile:
Mobile phone number
Fax:
Fax number if you have one
Email:
Best email address for contact
Website:
Website address if you have one
Contact Name:*
Name of your contact person
Position:
Position of contact person
In order for this application to be considered, we will be contacting you for the following information :
- Copy of Certificate of Incorporation/Registration
- Copy of Constitution
- Copy of latest Financial Statements
Thank you for completing this Application. Once you hit the Submit button below your information will be sent through to the Australian Blindness Forum Office. If you are not presented with a Confirmation message after submission, please check that all required fields have been completed. Any errors will be highlighted.
Email
This field is for validation purposes and should be left unchanged.