NO LONGER ACCEPTING MEMBERSHIPS – see “Winding Up” notice

Complete the form below and then press the [SUBMIT] at the bottom of the form. The details you have entered will be used to create your AFRF membership record, or to update it if you are already a member.

An annual membership fee applies ($20 for individuals, $50 for corporate members).

Any further questions? Please send an email using this link –> The AFRF Secretary.

AFRF Membership Application Form

AFRF MEMBERSHIP APPLICATION FORM

First Name

Last Name

Re-confirm email address

Contact Phone

Other Phone

Are you an existing AFRF member?

Yes - renewal of membership

No - new member

What type of membership?

Individual ($20)

Corporate ($50)

Corporate Member Details

Business / Organisation Name

Corporate Address

Building Property Name

Street Address

City

State

PostCode

Country

Postal Address

Individual Member Address Details

Address

Property Name

Street Address

City/Town

State

PostCode

Country

Postal Address

Emergency first responder experience:

AFRF Members do not need to be first responders. AFRF Members support the goals and activities of the AFRF.

Are you, or were you, an emergency first responder?

Yes

Select the option that best describes your status as an emergency first responder.

What first responder agency (or agencies) are you (or were you) a member of?

Please provide any other information/comments you would like to share in the fields below.

We hope through your membership that you will be able to help support and promote the AFRF so that we can continue to look after the mental health and well-being of the emergency first responders.

Why are you interested in becoming an AFRF member?

Is there any other information or comments you would like to share?

All membership information collected by the AFRF is used solely for the purpose of AFRF membership management, direct communication with members and compliance with legal requirements and rules of the AFRF only. View our Privacy Policy here.

Applying to become an AFRF Member means I acknowledge and agree:

That the information provided in this application will be used to create my AFRF Membership record
As a member, I support the purposes of the AFRF and will comply to the AFRF Constitution. Information about the AFRF goals and activities is available on this website: https://afrf.com.au. The objectives (from our Constitution) of the AFRF are available here. A full copy of our Constitution may be downloaded here.
I agree to pay the annual membership fee.

Press SUBMIT to send the above information to the AFRF and open a form to pay securely by PayPal or your Credit/Debit Card.

Alternately, you can use the bank account details below to pay by direct debit from your bank website or make a cash deposit at your bank branch:

Name: Australian First Responder Foundation BSB: 062679 A/C: 10680036 (include your name as reference)

Thank you so much for your support.

Join the Australian First Responder Foundation

AFRF MEMBERSHIP APPLICATION FORM