Membership Form Membership Options*General - $20Family (two adults in one family) - $30Would you like to make a Donation*YesNoDonation amount* Please enter amount Name* First Last Occupation*Address* Street Address Address Line 2 Suburb Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia State Post Code Email* Phone*Your personal details will not be shared with other organisation. Contact details are only used to inform you of upcoming events, seminars and ADHD industry information. Your details are stored securely within MailChimp, and may only be exchanged between Committee members.Terms and Conditions* I agreeI hereby apply to become a member of Macquarie ADHD Parent Support Group and agree to be bound by the rules of the Association and its Constitution. Financial membership is held on an annual basis, with renewals in June each year. Total $ 0.00 This iframe contains the logic required to handle Ajax powered Gravity Forms.