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

To become a member of Build A Better ME - Arthritis, Pain Support and ME/CFS ACT please complete this form and return it by pressing the 'submit' button at the bottom of the page.  

Additional Family Member - One

Additional Family Member - Two

Does any of the following funding apply to you?

Do any of the following conditions apply to you?

Membership Subscriptions

Warm Water Exercise Tickets

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

Details provided to us on this form will be used to create a membership profile for you, in our database.  For information on our Privacy Policy please click on this link

If you have any questions or would like assistance completing this form please contact our office on (02) 6251 2055.