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Click here to view information about Membership with CDA
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Online Membership Application Form

Please let us know if you are experiencing any problems with filling out this form.

To contact us by phone: (03) 9482 1130 or 1800 222 660 (Regional or Interstate Calls)

* Required

Example: John

Example: Smith

Example: Unit 3, 5 High Street

Example: Wodonga

Example: Victoria - VIC also accepted

Example: 3000

Example: 03 9123 4567

Example: 03 9123 4568

Example: 0412 345 678

Example: john.citizen@website.com

Example: Charles - 1/1/1998 - Down Syndrome

This is a radio button area. Only one selection may be made. Once a selection has been made, you can change it at any time until you click on the 'Submit' button.
Full Membership (free for families)

If applying for a full membership, CDA will contact you to confirm your details.

Associate Membership ($55/year - full fee)
Associate Membership ($11/year - students and unwaged))

If applying for a paid membership, CDA will contact you regarding payment.

Yes, please submit the details I've provided.