Become a Member - Muscular Dystrophy NSW

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Our Services
My Community
The Peer Collective
Medical Info
Get Involved
- Membership
- Donate
- Fundraise
- MDNSW Shop
- Volunteer

DONATE NOW

Memberships
Cost of membership is only $22 per year, per family, or for individuals.
Select a membership*
- Individual
- Family
Number of family members*
Individual
First Name*
Last Name*
Gender*
Email*
Date of Birth
Day
Month
Year
MD Type*
Family
Contact Number 1
First Name*
Last Name*
Gender
Email*
Date of Birth
Day
Month
Year
MD Type*
Relationship to Member
Contact Number 2
First Name*
Last Name*
Gender
Email*
Date of Birth
Day
Month
Year
MD Type*
Relationship to Member
Contact Number 3
First Name*
Last Name*
Gender
Email*
Date of Birth
Day
Month
Year
MD Type*
Relationship to Member
Contact Number 4
First Name*
Last Name*
Gender
Email*
Date of Birth
Day
Month
Year
MD Type*
Relationship to Member
Contact Number 5
First Name*
Last Name*
Gender
Email*
Date of Birth
Day
Month
Year
MD Type*
Relationship to Member
MDNSW Publications and Information
Would you like information to be sent to you containing details about our services, events and programs?*
- Yes
- No
Would you like to become an MDNSW volunteer or fundraiser?*
- Yes
- No
Would you like to be contacted by our Client Services team to discuss your current concerns?*
- Yes
- No
How did you hear about us ?*
Other (please specify)
Make a Donation
Make a donation with your membership registration
- No Thanks
- $50
- $100
- Other
Donation Amount*
Total
Total
$ 0.00
Billing Info
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Email*
Phone
Street Address*
City*
State*
Postcode*
Country
Payment
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Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

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Download a hard copy of the form

Enquiries

If you are experiencing financial hardship, please contact us to discuss waiving your membership fee for the year and a member of the team will get back to you.

Ph: (02) 9888 5711

E: info@mdnsw.org.au

Muscular Dystrophy NSW would like to acknowledge the Traditional Custodians of the land on which we live and work, and we pay our respects to their Elders past and present. We extend that respect to all Aboriginal and Torres Strait Islander peoples.

DCJ Apology to the Stolen Generations

Our Services
My Community
The Peer Collective
Medical Info
Get Involved
- Membership
- Donate
- Fundraise
- MDNSW Shop
- Volunteer

Muscular Dystrophy NSW
ABN 11 774 587 436
31 Clermont Ave, Concord NSW 2137

Muscular Dystrophy NSW is registered as a Charitable Entity with the Australian Charities and Not-for-profits Commission.
All donations over $2 are tax deductible.

Memberships

Individual

Family

Contact Number 1

Contact Number 2

Contact Number 3

Contact Number 4

Contact Number 5

MDNSW Publications and Information

Make a Donation

Total

Billing Info

Payment

Enquiries