Join AusDoCC. Once off fee – $20/member.

10 very good reasons to be an AusDoCC member

  1. Assist AusDoCC to raise awareness of disorders of the corpus callosum
  2. Receive a welcome pack with information, wrist bands and more
  3. Always hear the latest information first
  4. Receive our quarterly newsletter, AusDoCC Connects
  5. Vote at the AusDoCC AGM
  6. Enjoy ‘members only’ discounts to conferences and other events
  7. Create networks to overcome the isolation of a rare condition
  8. Assist us to produce printed and online resources
  9. Support research into causes and management of DCC.
  10. 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 please complete this online form. Each membership is for one person aged 18 or more.

(Alternatively, download the PDF version  to print and post.)

Payment Options: (offered at the end of the application form)
1. Direct Bank Deposit (preferred payment method)

2. PayPal (online)

Contact Details

Your Full Name *

Your Postal Address *

Your Email*

Contact Phone Number*

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

What's your interest in joining AusDoCC?
Individual with a Disorder of the Corpus CallosumParent of a child/adult with a DCCOther relative of a child/adult with DCCProfessional working with people affected by a DCCPerson 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 over $2.00 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.