Build a Better Me - Arthritis , Pain Support & Me/CFS ACT Membership Form

Additional Family Member - One

Additional Family Member - Two

Which of the following applies to you?

Membership Subscriptions

Warm Water Exercise Tickets

Before commencing exercise and hydrotherapy classes each person must complete and exercise screening and may need additional clearance from their GP.

Please complete this form and return to by pressing the submit button at the bottom of the page.  Our reception staff will telephone you so that you can make payment.  Alternatively, payment for memberships can be made in person at our Bruce or Pearce office (170 Haydon Drive Bruce (9-5 Mon-Fri) or Building 1, 1 Collette Place Pearce - 9.30 - 2.30 Mon-Fri) or by posting a printed copy of this form to PO BOX 908 Belconnen ACT 2616)