Become a Friend of VisAbility VisAbility

Personal Details

Please note that fields marked with an asterisk (*) are required.

First Name*

Last Name*

Address*

Address

Suburb / Town

State

Postcode

Email address*

Phone*

Payment Details

Friends of VisAbility Annual Fee: $20

Would you like to add a donation?*

Yes

No

Donation amount

$10

$25

$50

OtherOther

Preferred payment method*

Credit/debit card

Cheque or money order

Electronic funds transfer

Telephone credit/debit card payment

Credit Card Details

Please continue completing this form and send electronic funds transfer to:
Account: 036-000 122221
Reference (essential): Payee Name

Please continue completing this form and send your cheques/money orders (payable to VisAbility Ltd) to:

Friends of VisAbility
VisAbility Ltd
PO Box 101
Victoria Park WA 6979

Please continue completing this form and contact VisAbility Reception on (08) 9311 8202 to make your payment.

Security Policy

When making payments to VisAbility your financial details are passed through a secure server using the latest 128-bit SSL (secure sockets layer) encryption technology. 128-bit SSL encryption is the current industry standard. If you have any questions regarding our security policy, please contact our Customer Support Centre: gateway@visability.com.au

COVID-19

Who can become a Friend of VisAbility?

What will I receive?

Fees and subscription

Applying to join Friends of VisAbility

Personal Details

Payment Details

Security Policy