DSANT Membership Form

/DSANT Membership Form
DSANT Membership Form2019-02-11T00:00:56+00:00

Home Address:

Postal Address (If Different to Home Address):

Phone:

Other:



DSANT Membership costs:
DSANT Family/ Associate membership : $55
Computer Aided Learning (CAL) $130 (including DSANT membership of $55 and CAL membership $75) is necessary in order for your child to receive the CAL program in schools.

Bank Details (for direct deposit):
Down Syndrome Association NT Inc
BSB: 633000
Account: 144690443
(Please include your Surname as reference)

Payment via Direct Deposit:
I have transferred money via Direct Deposit to the Down Syndrome Association NT account to pay the

$55 for DSANT family membership$130 for CAL membership ($75) plus DSANT family membership ($55)I am currently experiencing financial hardship and would like to discuss other payment options