VIC Individual Membership - 3 years

If you are already a member or renewing membership of ABC Friends please fill out the form below. If you have set up your account, you can log in first to have your details pre-filled on the form.

Should you not wish to submit your details online, click here for a printable application form which can be completed and sent to the Friends via Australia Post.

All fields marked with an asterisk (*) are mandatory.

Membership Details

State *

Membership Type *

Membership Period *

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Personal Details

Title

Given name *

Family Name *

Contact Details

Mobile Number

Other Phone Number

Email address *

Confirm email address *

Postal Address *

Suburb or Town *

Postcode *

State *

Country *

I agree to my contact details being made available to my local ABC Friends group/branch.

I am happy to receive occasional emails about ABC Friends’ campaigns and activities.

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Payment Details

I'd like to add a one-time donation to my payment.

Credit Card

Expiration Date

Security Code

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Please note:

When you submit this form, after a few seconds you will receive a screen message and, if payment is successful, a confirmation email within a few minutes.

Your credit card details will be used only for the processing of this transaction, and your contact details will be used only for administration and distribution purposes within ABC Friends, and will not be passed on to third parties.