Ambassador Registration – Individual

Individual registration as Foundation Ambassador.

You may elect to receive Foundation invitations, newsletters and other communications either at a single email address or, if you have more than one email address, at the email addresses you nominate below.

Surname

Date of Birth

DD/MM/YYYY

Given/preferred name

Spouse/Partner’s Surname

Spouse/Partner’s Given/preferred name

Address

Unit/Street

Suburb

Postal Code

Mobile

Phone (Home)

Mobile (Spouse/Partner)

Preferred method of communication

Phone (Home) Mobile Email

Newsletters: Our newsletters (published approximately every four months) are delivered to Ambassadors in hard-copy format so that they can be read and shared with family and friends.

If you prefer to receive newsletters by email only, please tick this box

Ambassador Registration - Individual