See Membership Fees below.

If you become a member you will receive issues of the national deafblind newsletter "Beacon".

You may join the Australian DeafBlind Council in a number of ways

• Print out this page and send the form below to the Council by mail or fax with your credit card details
• Print out this page and mail the form below to the Council with your cheque or postal order
• Send us an Email message containing the details requested below, including your
  credit card information. Email
• If your program supports forms, go to the FORM to send your information to us.

Name............................................................................ ..

Address......................................................................... ...................

Category of membership (see below)....................................

I wish to join The Australian DeafBlind Council

• I enclose cheque ........... or

• Please debit my credit card number................../..................../.................../.............. ....

  Expiry date.......................

  Signature..................................................................... Date ........................

Please send material to me in (please tick)................Braille.............Large Print ........................Computer Disk (ASCII text)

Return to

The Deaf-Blind Association
PO Box 1213
Camberwell Vic. 3124

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First Name:                    

Surname:                       

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State:                         

Postcode:                      

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Telephone(h):                  

Telephone(w):                  

E-mail:                        

Membership Fees

1. A person with vision-hearing impairment/deafblindness - $10
2. A professional person - $20
3. A family, support person or other - $10
4. An organisation with turnover of $50,000 or more a year - $100
5. An organisation with turnover of less than $50,000 - $50