Become a Member Application

Thank you for your Leukaemia Foundation membership application. Your role as a Leukaemia Foundation member significantly extends our reach advocating for people living with blood cancer across Australia.

Here’s a few examples of what our members’ support helped us deliver in 2021 - 2022.

The Leukaemia Foundation Members team will be in touch once your application has been processed.

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Fields marked with an asterisk (*) are required.

Your Details

First Name

Last Name

Home Phone

Mobile Phone

Email Address

Birthdate

Address

Street

City

State/Provice

Postal Code

Select a Branch

If you're joining a local branch please select them from the list below. If you're joining as a general member of the Leukaemia Foundation please select LF Branch - Central.

Selected Branch

Please select your preferred method of communication

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Other ways to support

Please tell us more about why you would like to support the Leukaemia Foundation as a member*:

Membership Payment

Annual Membership

AUD

Donation (optional)

AUD

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Donation Amounts

Annual Membership

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By clicking apply, I confirm that I am over 18 years of age and that I have read and agree with the Leukaemia Foundation Member Code of Conduct.

Your privacy is important to us and we treat your personal information with confidence. To learn more about how and why we collect and use any personal or sensitive information about you, please read our notification statement

Apply to Become a Member