Individual Membership Application Form

Membership Benefits

A strong membership provides Alzheimer’s Australia WA with the strength in numbers to tackle advocacy issues and to argue a stronger case for people with dementia and their carers. As a Member you will receive our quarterly newsletter, Milestones, our Annual Report and you have access to the wide variety of books, DVDs and resources offered through our Library.

You may also choose (below) to receive our monthly email newsletter “Dementia Aware” which contains the latest information on dementia care and medical research.

Make a difference today!

Completing your donation won't take long and all donations over $2.00 are tax deductible. All online donations are processed through SecurePay - a secure online payment service.

Dontate now


 


Personal Contact Information


Business/Organisation Contact Information (if applicable)