Membership Form

Membership type

Organisational Member: $500 per annum
Supporter: Free
CheckUP has two membership categories.

Organisations of any size should select the Organisational Member category.

The Supporter category is open to individuals only and can include individuals of member organisations. Supporters will have similar benefits to members, except they will not have voting rights for Board elections.

Individual contact details (Supporter details or best contact at Organisation)

*
*
*
*
Role title in organisation or general occupation
*

Organisation details (Organisational Member only)

QLD
NT
WA
NSW
VIC
ACT
SA
TAS

Organisation type (Organisational Member only)

PHN
General Practice Network
Aged Care
Health and Community Service
Public Hospital
Private Hospital
Peak Body
Industry Body
NGO
Government
Professional Association
Hospital and Health Service
Supplier
GP/Specialist/Allied Health Practice
Other

Organisational Members will receive a welcome email. Upon approval of their membership by the CheckUP Board, Organisations Members will receive a detailed welcome email. This will include a request for a company logo, 50-100 blurb, and bank details for the creation of an invoice.

*Security Check
Security Check
Enter the text in the image above.