Sign up by cheque or bank deposit – Tourette Syndrome Association of Australia

This page is only to be used by members who ARE NOT paying by credit card for the sign up or renewal fees i.e if you prefer to pay for membership by Cheque or by bank deposit.

Your membership will be confirmed once your deposit or your cheque clears. If you are a new member you will then be allocated a password and this will be emailed to you using your primary email address supplied below.

Bank deposit details are as follows:

Tourette Syndrome Association of Australia Inc.
Commonwealth Bank of Australia
BSB: 062-155
Account number: 10572832

Please leave your name as reference and email info@tourette.org.au so we can receipt the payment.

Cheque or Bank deposit sign-up

Term of Membership (please select your preference) *

I am paying by:

Your Profile

First name *

Last name *

Primary email address *

Password *

Enter Password

Confirm Password *

Confirm Password

Additional info

Address line1 *

Address line2

Address line3

Suburb/Town/City *

State *

Postcode *

Secondary email address

Name of parents

Name of TS Child

Date of birth of child

Doctor providing diagnosis

General information field

What are you hoping your membership will provide?

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