Sotos Syndrome Australasia - General Membership Application
Please fill in the form below to apply for a one year general membership to the Sotos Syndrome Australasia Association. Membership is valid from July 1st 2020 to June 30th 2021.

The committee has decided to waive the $30 membership fee for new and returning members who meet the following conditions:
- A completed membership form is submitted between July 1st 2020 and June 30th 2021.
- Applicants reside at an Australian residential address.
- Fees waived for members with Sotos Syndrome, their relatives and carers.

All other member applications from therapists or professionals must pay the $30 annual membership fee.

Please note you will receive a copy of our association rules and regulations once your application is accepted. Please add info@sotos.org.au to your address book to avoid emails or newsletters being redirected to your junk/spam folder. Thank you!
How did you find out about Sotos Syndrome Australasia?
Please select the option that best describes you: *
Your email address: *
Your First Name *
Your Last Name *
Your Address Line 1 (Street Number, Street Name) *
Your Address Line 2 (Suburb) *
State (if within Australia) *
Postcode *
International Addresses (if you live outside Australia, please list your full postal address for international mail, including your country and zip code)
Mobile Phone Number (include country code if outside Australia) *
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