Renew your membership « Spinal Life Australia

To renew your membership with Spinal Life, please fill in the below form – it’s great to have you as part of our community.

Our members are a valued part of our organisation, supporting our advocacy efforts to create long-lasting change in the community, and having an active voice in our organisation.

You can also connect with others through our peer support groups, attend events and activities throughout the year, access discounted equipment hire and much more.

To read more about the benefits of becoming a member, click here.

Don’t forget, your annual membership is renewable by 30 June each year.

If you have any questions, please contact us today on members@spinal.com.au or 1300 774 625.

Section A - Personal Information
Name*
Title First Last
Phone*
Email*
Membership ID
Have your contact details changed?*
- No
- Yes
If yes, please enter your new contact details below.
Section B - Types of Membership & Fees
Membership Type*
- Ordinary member ($15/year)
- Ordinary member (Concession) ($10/year)
- Junior Ordinary Member ($15/year)
- Junior Ordinary member (concession) ($10/year)
Junior membership is applicable to members less than 18 years of age at date of the application.

Annual membership is renewable by 30 June each year.

Concession rates are available to anyone who is in receipt of a Commonwealth Government pension card.
Section C - Donation
Would you like to make a donation today?*
- Yes
- No
Donation Amount*
How much would you like to donate?
Section D - Payment
Total due
$ 0.00
Credit Card*

MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Section E - Your privacy
Have you read and agreed with the Privacy Policy?*
- Yes - I have read and agree
Email
This field is for validation purposes and should be left unchanged.

Section A - Personal Information

Section B - Types of Membership & Fees

Section C - Donation

Section D - Payment

Section E - Your privacy