Membership - Neerim Health

Your membership to Neerim Health Service shows your support for a very important community owned and community managed asset. This membership is for the period to 30th June 2022. Thank you very much for your support.

Type of Membership

Single

$25.00 for 1 year

Couple

$40.00 for 1 year

Family

$40.00 for 1 year

Adult #1 Information

Full Name

Salutation *

First name *

Last name *

Date of birth *

Email address *

Phone *

Address

Street address *

Apartment, suite, unit, etc. (optional)

Suburb *

State *

Postcode *

Country / Region *

Other Information

Would you consider making a donation?

All donations of $2 or more are tax deductible

Donation (optional)

Would you like to volunteer at Neerim Health?

Please Indicate below any areas you might be interested in.

Areas you might be interested in (optional)

Account username *

Create account password *

Your Order

Product Quantity	Total
Cart Subtotal	$0.00
Order Total	$0.00

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- Use a new payment method
Credit or debit card

Save payment information to my account for future purchases.

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Your membership will need to be renewed manually each year. A reminder will be sent to you 30 days prior.

Memberships

Type of Membership

Single

$25.00 for 1 year

Couple

$40.00 for 1 year

Family

$40.00 for 1 year

Adult #1 Information

Other Information

Your Order

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