2018/19 Autism Intervention Trust Membership Form
The Trust always welcomes new members. This year our membership year runs from 1 April 2018 to 31 March 2019 but you can join at any time. Membership can be for an individual, a couple, family or organisation.

The Trust has two types of membership:
1. general membership
2. financial membership

General membership means you are included in all communications, and receive invitations to all Trust activities and events. General membership is free.

Financial membership provides the benefits of general membership AND discounted prices for events and activities that incur a fee. In some instances, preferential booking is given to financial members.

Individual, Couple or Family Financial membership is $69 (incl GST) per annum. Organisation membership is $150 (incl GST) per annum.

This form will take approximately 5 minutes to complete.

Are you a new member or are you renewing your membership? *
Name(s) of adults in this membership: *
If you are registering an organisation, please put the contact person AND name of organisation.
Your answer
Your email: *
Your answer
Alternative email:
You may wish to include a second email.
Your answer
Landline number:
Your answer
Mobile number:
Your answer
Postal address: *
Your answer
Please tell us about your main interest in autism *
This helps us to know our members and better plan our activities.
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