fbpx

Get Involved

As a Hepatitis QLD member, you will make a difference to the lives of people affected by viral hepatitis.

Membership is FREE.

Membership provides you with:

  • Regular updates and information about Hepatitis Queensland activities and events
  • Eligibility to be involved in Hepatitis Queensland including attending and participating in Annual General Meetings (AGMs), nomination and voting rights, and other related activities. 
  • Opportunities to respond to viral hepatitis in Queensland
  • Representation by the Board and staff of Hepatitis Queensland
  • Eligibility for our Hepatitis Queensland Member Recognition Awards

Membership Form

Hidden

Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.
I wish to join as an:(Required)

We just need a couple of details

Address(Required)

Please confirm the following:

Are you over 18?(Required)
Do you identify as a person affected by viral hepatitis?
Do you identify as an Aboriginal or Torres Strait Islander person?
Do you identify as someone from a culturally and linguistically diverse background?
Please provide details on how you would like to contribute?

This website may contain the names and images of Aboriginal and Torres Strait Islander people who have passed on.

CLOSE