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Member Renewal

To renew your membership, use the Membership Renewal form below.

If you need assistance to complete this form, please contact IDA by calling 08 8948 5400 during our office hours: 8.30am – 4.30pm Monday to Thursday.

Otherwise, you can send our friendly team an email at office@idainc.org.au. We are here to help.

Membership Renewal Form

"*" indicates required fields

We value the importance of your personal information privacy. Prior to submitting your application, we kindly request you to review our privacy policy. It provides detailed information about our privacy practices, including how you can access the personal information we hold about you and make privacy complaints if necessary.

Full name or Business name*

The IdA membership holder will be issued a receipt in their name. Please ensure that you accurately identify your organization or provide your full name in the designated field. If you are a person with a disability, kindly provide the necessary details in the space provided below 😊.

Your contact information

Contact person (may be same as above).

Name*

First Last

Preferred Name

Email (required)*

(If you do not have an email or rather not share, please put 'NA')

Enter Email Confirm Email

Address

If your address has changed since last time, please update it here 😊.

Street Address City State / Province / Region ZIP / Postal Code

Mobile Phone

Home Phone

Work Phone

Fax

Website (if business)

Please enter a valid Website URL (e.g. https://www.idainc.org.au)

Preferred contact method

In an effort to minimize our environmental footprint, we kindly request that you opt for postal mail only if necessary for accessibility purposes.

Phone

Postal mail

SMS

Large print postal mail

As a member, we may occasionally need to contact you via your preferred method of communication regarding your membership. Additionally, if you opt-in, we may also send you marketing communications (see Membership declaration).

Would you like to be contacted about volunteering at IdA?

Yes

How did you hear about Integrated disAbility Action (IdA)?

Are you Interested in being part of any of the following:

The purpose of this question is for IdA to ensure we are including you in any of our programs, initiatives and future sneak peeks as well as knowing where to share external programs and services😊. (Please note: this is not an exhaustive list but is based on our ongoing membership feedback and IdA's vision for 2024).

IdA Disability Peer Programs (Social, Community Connection, Citizen Advocacy)

IdA Peer Work (Remunerated, Future driven, People with Disability Voice & Action, 'Nothing About Us, Without Us', Co-Design & Leadership Work)

IdA Specialty Training (MYMONEY Program, Advocacy Training, Supported Decision Making, Disability101, NDIS101, Safety & Online Awareness, De-escalation Training)

Inclusive Community Conversations (Workshops, Forums, Presentations, Training)

Inclusive Youth & Education (Programs, Networks, Support Groups, Events)

Inclusive Sports (Netball, Soccer, Basketball, Swimming)

About you

The following section contains questions that will help us provide relevant information to our members and support our advocacy efforts. While most of these questions are optional, we appreciate your participation. Rest assured that any information you provide will be kept confidential and handled in accordance with our privacy policy.

Age group

18-24

25-34

35-44

45-54

55-64

65+

Which one (s) best describes your gender or gender identity?

Male

Female

Gender non-conforming

Non-binary

Transgender

Cisgender

Intersex

Prefer not to say

Other

Which one (s) best describes your sexual identity or sexual orientation?

Heterosexual

Gay

Lesbian

Bisexual

Pansexual

Queer

Asexual

Prefer not to say

Other

Do you identify as being Aboriginal and/or Torres Strait Islander?

Yes, I identify as Aboriginal

Yes, I identify as Torres Strait Islander

Yes, I identify as both Aboriginal and Torres Strait Islander

No, I do not

I prefer not to say

Do you identify as coming from a culturally and linguistically diverse background?

Yes

If English is not your first language, what is your preferred language?

What is your country of birth?

Disability type

(Providing this information will assist us with our advocacy work)*

Physical (for example, mobility issue, amputee, muscular dystrophy, spinal cord injury etc)

Neurological (for example, autism spectrum condition/disorder, ADHD Tourette’s etc)

Sensory (for example blind, deaf, deafblind etc)

Cognitive or intellectual disability (for example ABI, Down syndrome, etc)

Psychosocial (for example, permanent psychiatric disability or mental health condition)

Prefer not to say

Other

Are you an NDIS participant?

Yes

Prefer not to say

Please feel free to share anything you would like about your disability here (Optional)

Lived Experience Category

Person with a disability

Family member (Partner, Parent, Sibling, Child, Grandparent)

Peer (Individual with a disability, Friend, Colleague, Ally, Advocate)

Professional (NDIS Providers, healthcare providers, therapists, social workers, disability sector etc.)

Membership category*

Please select the one that best applies to you:

Would you like to add a donation?

Yes

Optional donation (enter amount):

Yes, I would like to make a donation. (Donations over $2 are income tax deductible.)

Total

Payment method*

Direct Debit Account Name: Integrated disAbility Action Inc BSB 633-000 Account No:138752894 Please use surname as reference.

Cheque - Please make cheque payable to Integrated disAbility Action Inc

Credit Card - enter your details after you click submit

Contact Us

For any enquiries, to subscribe, or make a request for advocacy please, feel free to contact Integrated Disability Action.

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IDA is the Northern Territory's peak disability organisation, focusing on advocacy and community development by, with and for people with disability. As the NT disability peak body, IDA is a cross-disability organisation, meaning there are no wrong doors regarding disability at IDA as we represent the interests of people with all disability types. In our commitment to improving the disability sector and helping to develop the community for people with disability, additional to advocacy, we deliver a range of programs, services and activities aimed to empower, support and celebrate people with disability. With the NT's unique way of life, we recognise the value of community connection and supporting providers who aim to improve their skill and increase their capacity for caring for and catering to the diverse needs and wants of people with disability, IDA takes a proactive approach in providing wraparound support to providers, where necessary and possible.

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