Hepatitis QLD Membership | Hepatitis Queensland

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I wish to join as an:(Required)

Individual

Organisation/business

Are you an individual or organisation that provides funding to Hepatitis Queensland (excluding donations)?(Required)

You may be ineligible for voting categories of members.

Yes

We just need a couple of details

Full Name(Required)

Street Address(Required)

Phone Number(Required)

Email Address(Required)

Organisation Name (if applicable)

Job Title (if applicable)

Please confirm the following:

Are you over 18?(Required)

Yes

Would you like to receive Hepatitis Queensland news and information?(Required)

Yes

Do you identify as a person affected by viral hepatitis?

Yes

Do you identify as an Aboriginal or Torres Strait Islander person?

Yes

How did you hear about Hepatitis Queensland?(Required)

CAPTCHA

Get Involved

As a Hepatitis QLD member, you will make a difference to the lives of people affected by viral hepatitis.

Membership Form

Next Steps: Sync an Email Add-On

We just need a couple of details

Please confirm the following: