Membership Suspension

Please complete the form below to make a request to temporally suspend your membership.

"*" indicates required fields

Name*
example@example.com
0400 000 000
Your ref. number can be found in your welcome email
Select date DD dash MM dash YYYY
Select date DD dash MM dash YYYY
Accepted file types: jpg, png, pdf, Max. file size: 4 MB.
Please remove any sensitive information from your attachment (eg. Medicare card details)

I agree to Terms and Conditions*

Consent*
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