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Any person who supports the objects and purpose of the Charity is eligible to apply to become a member.

The objects and purpose of this charity are:

give back to the community through our outreach programmes, delivering health promotion educations using our skills as health professionals
undertake activities such as provision of food and basic necessities to the homeless and other disadvantaged group of people in our community
promote and foster Filipino and other cultures through dances and music and observance of Filipino and other customs, festivals and ceremonies.

Please complete the online form below or, if you prefer, download our Application Form, complete and mail to PO Box 3160, Perth WA 6964

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Membership Form

Name*
Prefix First Last
Email*
Residential Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Is your mailing address different?
- Yes
- No
Mailing Address
(If different from above)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employer Details :
Telephone :
Mobile Phone :*
Date of Birth
(Optional)

Day
Month
Year
Gender
(Optional)
- Male
- Female
Membership Selection
- Single $10 per year
- Couple $15 per year
Comments
This field is for validation purposes and should be left unchanged.