Online membership form


To join online please complete the Membership Form below and click submit AND then pay using PayPal or your credit card by clicking "Add to Cart" for the appropriate amount and following the instructions.

This form is for Australian residents only.

Step 1 Complete membership form

AESSRA Inc. Membership Form



Membership category 1: Full or Concession





Membership category 2: Associate - Relative, Full or Concession


Membership category 3: Associate Member - Supporter





For membership categories 1,2 and 3:



Membership category 4: Associate - Professional $35


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Register of Members: I give permission for the following to be made available to other members who request a copy of the register of members. (Any information you don't give us permission to share with other members will be kept confidential.)





If you are making a donation to AESSRA Inc., you will be thanked in Sensitivity Matters, unless you click on the box below:


BROCHURES to give people or put in waiting rooms, health food shops etc. Please send me: Are you sensitive to chemicals?




What's in your perfume, fragrances and scented products?




Fragrance and Health




Step 2 Pay membership fee

If you like, you can also make a donation to the AESSRA Inc. Research Fund or to AESSRA Inc. or both. To donate the amount of your choice, please click "Add to cart" and then increase the quantity. For example, to donate $50, choose a $10 donation, click "Add to cart" and increase the quantity to 5.

These donations are tax deductible in Australia.

Membership - Full, or Associate - Relative, Full, or Associate - Supporter, Full, or Associate - Professional (Australian resident)

$ 35.00 AUD

By paying your membership fee you are agreeing to be bound by the Code of Conduct and Rules of AESSRA Inc. for the time being in force (see the "Join AESSRA" page for links to these documents).

Memberships must be approved by the Committee. If your membership is refused (a very rare event) you will be sent a refund.
 

Membership - Concession, or Associate - Relative, Concession, or Associate - Supporter, Concession (Australian resident)

$ 20.00 AUD

To be eligible for concession membership you must provide your Centrelink Pension or Health Care Card number on the Membership Form above.

By paying your membership fee you are agreeing to be bound by the Code of Conduct and Rules of AESSRA Inc. for the time being in force (see the "Join AESSRA" page for links to these documents).

Memberships must be approved by the committee. If your membership is refused (a very rare event) you will be sent a refund).
 

Donation to AESSRA Inc. Research Fund

$ 2.00 AUD

The AESSRA Research Fund has been set up to fund research into MCS and related disorders. It has Deductible Gift Recipient (DGR) status.

Donations of $2 and over are tax deductible.

 
 

Donation to AESSRA Inc.

$ 2.00 AUD

Your donation will help AESSRA Inc. to help people with Multiple Chemical Sensitivity, allergies and related disorders.

Donations of $2 and over are tax deductible.
 

Donation to AESSRA Inc. Research Fund

$ 10.00 AUD

The AESSRA Research Fund has been set up to fund research into MCS and related disorders. It has Deductible Gift Recipient (DGR) status.

Donations of $2 and over are tax deductible.
 

Donation to AESSRA Inc.

$ 10.00 AUD

Your donation will help AESSRA Inc. to help people with Multiple Chemical Sensitivity, allergies and related disorders.

Donations of $2 and over are tax deductible.
 

Hospital Guidelines for patients with Multiple Chemical Sensitivity

$ 3.30 AUD

Lists ways to make a hospital stay safer for people with MCS. Contents: Emergency, Hospital staff, Admission, Babies and children, Patient's room, Cleaning, Pesticides, Medications, medical devices and surgery, Diet, Further information, Non-toxic, fragrance free personal care and cleaning products

12 A4 page booklet, printed with soy ink on recycled paper.

Price includes GST and postage.

Available to AESSRA members only.
 
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