Membership Checkout

Membership Information

You have selected the Individual - Concessional membership level.

(includes students and pensioners)

Please note, our membership billing period ends on the 30th of June. Renewal reminders will be emailed from 1 June.

The price for membership is $33.00 now.

Membership expires on June 30, 2027.

Do you have a discount code?

Account Information

Username

Password

Confirm Password

Hint: The password should be at least twelve characters long. To make it stronger, use upper and lower case letters, numbers, and symbols like ! " ? $ % ^ & ).

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

Already have an account? Log in here

Make a Gift

Donation Amount

Make a donation to support our charity Palliative Care SA

Individual Account Information - What do do

Please note what details you should include in your account information above.

Usernames —

Please use your first and last name combined with no spaces as your username e.g. JaneDoe

Your Details

Salutation

First Name

Last Name

Address

Suburb

State

Postcode

Phone Number

Concession - Validity

To confirm you hold a valid concession identity, please complete the relevant fields below.

Please select your type of concession

Please upload your concession card, student card, or evidence of your full-time volunteer status

Please enter the expiry date of your ID as stated on the uploaded file

If you are a Palliative Care volunteer, please provide further details below.

If you are not a Palliative Care Volunteer, please type N/A in the fields below.

Name of the organisation your volunteer for

First name of the person you report to

Last name of the person you report to

Role of the person you report to

Email of the person you report to

Phone number of the person you report to

Employment Details

Are you currently employed?

Yes

If you are currently unemployed, please enter N/A into the fields below —

Name of the organisation you work for

What is your role at this organisation?

How did you hear about PCSA?

Please select the best option

If other, please specify

Terms & Conditions

Please note, membership will require approval - this can take up to 2 weeks.

I have read and agree to the objectives of the organisation.

I have access to the PCSA Constitution and I understand that my membership can be revoked at any time if I operate outside of the values of the organisation.

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