General Membership

The annual subscription is $40/individual.

Please make your payment to the LDANZ Bank Account: 03-1557-0467278-000. giving your initial and surname as reference and code ‘GMsub’.

Terms:

$40 / Year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Work Phone: Work Phone is not valid

Home Phone: Home Phone is not valid

Reason(s) for wanting to join LDANZ:* Reason(s) for wanting to join LDANZ is Required

Experience in working with people with specific learning disabilities (SLD):* Experience in working with people with specific learning disabilities (SLD) is Required

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

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Coupon Code:

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Direct Debit

No val Please fix the errors above

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