Membership - payment

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Membership and optional donation

You can make a donation with your membership. Donations of $2 or more are tax-deductible.

Membership *

You can enter card details at the bottom of this form after selecting membership type.

Optional Donation $

Please don't enter a "$" sign.

Total Amount

Email Address *

Member / Donor Details

First Name *

Last Name *

Phone *

Address Line 1 *

Address Line 2

Suburb/Town *

Post Code *

State *

Country *

If donors are agreeable, AQuA would like to acknowledge them (but not the donation amount) in AQuA's annual report. Please choose how you would like to be acknowledged.

How to acknowledge donation *

If this donation is in the memory of a colleague, friend or loved one, you can provide their name, which will be included in AQuA's annual report.

In memory of (optional)

Enter your card details below We use Stripe to securely process payments.

Privacy information: AQuA collects information for its membership records and to be able to contact its members. AQuA will not disclose your personal information without your consent. By applying for membership, you consent to being sent post and emails from time to time by AQuA.