Membership Form

By becoming a member, you can contribute towards creating a more just and equitable society.

Full Name

Organisation

Address

Street Address Address Line 2 City State Post Code

Membership Reason

Membership Type

Donation Amount

DONATIONS: Although our donations are not tax deductible, we would greatly appreciate any additional financial support you can offer.

Payment Type

Please choose a payment type from the drop-down menu above. Paypal also allows for Credit Card payments without needing a Paypal account. If you choose the 'invoice' option, ACT Shelter will email an invoice within 7 days.