Solidarity

SOLIDARITY IS A VOLUNTEER ORGANISATION THAT ASSISTS HEALTHCARE STUDENTS AND WORKERS TO WORK ACCORDING TO THEIR CONSCIENCE.

ANNUAL MEMBERSHIP FORM

All prospective members of Solidarity! are required to complete this form and email an attachment of your receipt to

info@solidarityau.com





MEMBER CONTACT INFORMATION

TITLE

Mr.Mrs.Miss.Ms.Sr.Dr.Other, specify

MEMBERSHIP TYPE AND PAYMENT DETAILS

MEMBER TYPE

STUDENT

HEALTHCARE WORKER

MEDICAL OFFICER

ASSOCIATE

DONATION

MEMBERSHIP FEE

$10

$40

$100

$20

$

PAYMENT METHOD

Net bank

Cash

NETBANK DETAILS

Account Name SolidarityAU

BSB 06 2000

Account Number 1510 0828

Bank Commonwealth Bank

MEMBER INFORMATION

STUDENT
HEALTHCARE WORKER
ASSOCIATE