Apply to become a member ofAusDoCC. Only $20 for an ongoing single membership

ausdocc-membershipReasons to be an AusDoCC member

  • Assist AusDoCC to become a stronger voice to raise awareness of disorders of the corpus callosum.
  • Receive our regular newsletter, ‘AusDoCC Connects’ and assist us to produce printed information to share nationally
  • Keep up to date with family stories, information and the latest news and events.
  • Have your say and vote at the AusDoCC Annual General Meeting
  • Enjoy ‘members only’ offers and discounts to some events and items, e.g. Connections Conferences
  • Support research into causes and further understanding of DCCs
  • Create networks to overcome the isolation of dealing with a rare condition
  • Every member helps us advocate for more recognition and to create greater awareness and support for individuals and families living with a disorder of the corpus callosum.

To join AusDoCC or renew your membership, please complete this online form, or alternatively download the PDF version

Payment Options:
1. Credit card (pdf version)
2. PayPal (online)
3. Direct Bank Deposit (pdf or online)

Contact Details

Your Full Name *

Your Postal Address *

Your Email*

Contact Phone Number*

Are you a new member or renewing your membership?
 New membership Renewal Update of details (no payment required)

What's your interest in joining AusDoCC?
 Individual with a Disorder of the Corpus Callosum Parent of a child/adult with a DCC Other relative of a child/adult with DCC Professional working with people affected by a DCC Person or organisation interested in DCCs

Membership Option

Family Details

Child 1 or adult with a DCC

Full Name

Date of birth

Gender

DCC diagnosis

If DCC is associated with another condition, please provide details

Child 2 or adult with a DCC

Full Name

Date of birth

Gender

Condition

If DCC is associated with another condition, please provide details

I desire to become a member of AusDoCC Inc. I agree to support the purposes and rules of AusDoCC and accept the terms and conditions of
application for membership as detailed on the Association website www.ausdocc.org.au. I declare that all the information given on this form is
true and correct.

Please Consider making a donation along with your application. All donations are tax deductible.

Contact and Privacy

The information collected in this form is for the use of AusDoCC Inc. and affiliated branches only. Information is confidential and will not be
shared with any third party without prior consent. The Privacy Act 1988 allows applicants to access and amend their personal information at
any time.

AusDocc Inc. uses email to share newsletters, updates about upcoming events and other resources for AusDoCC members.

I wish to receive email from AusDoCC Inc.
 I consent to be on a contact list for families of DCC.



Payment options are Paypal (accepts credit card), and BSB Bank Transfer.