Required fields are marked with *. Member details Membership/reference number First name* Last name* Address Line 1* Address Line 2 Suburb* State* Postcode* Phone* Email* Membership and payment options Membership type* Membership options $25 One Year Membership $60 Three Year Membership Payment type* Payment options Credit card Someone will call you to pay by credit card via the NCC. Direct debit National Australia Bank (NAB) - BSB 083-004 / Account 51-542-6465. Please ensure you put your full name as a reference on direct debit payment Email is the default format, please indicate if an alternative format is required: alternative_format Standard print Large print Audio Daisy Braille Privacy By submitting, I acknowledge that any personal information collected by Vision Australia will be handled in accordance with the Privacy Act. I agree that my personal information can be used or disclosed by Vision Australia as contemplated by/in this form. I am aware I can request access to the personal information Vision Australia holds about me. For further information refer to Vision Australia's Privacy Policy. Annual report Vision Australia will supply members with access to its annual financial, directors and auditors reports online rather than in hard copy format. This change is in line with modern business practice. If you do not have access to the internet or would prefer to receive a hard copy of the report please contact Vision Australia on 1300 84 74 66 with your request. Leave this field blank
