Membership Suspension

Please complete the form below to make a request to temporally suspend your membership.

"*" indicates required fields

Name*
example@example.com
0400 000 000
Your ref. number can be found in your welcome email
DD dash MM dash YYYY
DD dash MM dash YYYY
Accepted file types: jpg, png, pdf, Max. file size: 4 MB.
Please remove any sensitive information from your attachment (eg. Medicare card details)

I agree to Terms and Conditions*

Consent*
This field is for validation purposes and should be left unchanged.