Diabetes Australia

Fill in your details below to become a member of the community.
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Title *

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NDSS Number

First Name * This field is required.

Last Name * This field is required.

Date of Birth * This field is required.

Preferred language *

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Email This field is required.

Confirm Email Please check that the email address matches.

Postal address

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State / Territory *

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Postcode * This field is required.

Mobile phone

Home phone

Diabetes Type *

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Do you hold a government issued concession card?

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Membership Information

Enjoy the flexibility of paying your membership in either monthly or annual instalments as a payment directly from a credit or debit card. To make any changes to your membership payments or to cancel your membership please call us on 1800 177 055.

Donations

Donations from our generous supporters help everyone living with diabetes. Would you like to donate today?
Yes, I would like to make a one-off donation deducted from my debit or credit card today.
No

Receipt and membership card

Information on how to receive your membership benefits and your receipt will be emailed to you. If you prefer to receive a printed membership card and receipt these can be purchased below.
I would like to add a printed membership card and receipt - $5 I am happy to receive an emailed receipt - $0

Terms and conditions

I have read and agree to the Terms and Conditions and the Privacy Policy.

Diabetes Australia

Membership Information

Donations

Receipt and membership card

Terms and conditions

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