Australian Diabetes Council

1.Fill the Form >>> 2.Confirm Details >>> 3.Submit for Processing

Membership Type

Personal Details

Title

First Name

Last Name

Date of Birth

Address

City

State

Post code

Country

Phone - Home preferred

Phone - Work preferred

Phone - Mobile preferred

Occupation

Employer/Organisation

Concession card number

Diagnoses

Year Diagnosed

Yes, I'd consider taking part in diabetes surveys.

Help us save money
Australian Diabetes Council’s concise Annual Financial Report is only mailed to members who tell us they want to receive it. Members wanting to read the report can choose to view it on our website, helping us save money.

I do wish to be posted a copy of the concise Annual Report in the mail.

Yes, I would like to join my local Branch/Support Group at NO extra cost.

Would you like to make a donation to Australian Diabetes Council?

Amount $

Set Membership password

Until Australian Diabetes Council issues you with your Member number your username will be the email address you previously entered. Once you receive your Member Number, your username can be either your email address or your Australian Diabetes Council Member Number. Please note that the Members Only section of the website is currently offline – please check in the next couple of weeks for our new improved Members Only section.

Enter a new password

Confirm password

Enter the payment details

Credit Card Number

Expiry Date

CVV

Card Type

Membership fee:$

Donation: $

Total Amount : $