Membership Form

Full name*
Phone Number*
Address:*
Email*
I want to
- Renew my membership
- Become a member
Membership Type
- Barkuma Full Membership - Individual
- Barkuma Full Membership - Family
- Associate Membership (Barkuma Employee)
How did you hear about us?*
- Internet Search
- Facebook
- Instagram
- LinkedIn
- Word of Mouth
- Email
- School Referral
- Link Magazine
- Newspaper
- Expo/Event
- Returning Customer
- Disability Support Guide
- Other
If other, how

Thank you for your interest in becoming a member of Barkuma.

A membership keeps you informed about Barkuma and Government policies which affect people with disability and their families. It costs only $5 for an individual or $10 for a Family membership.

Once you have submitted your details, our team will get back to you regarding final details and payment.

BARKUMA JOURNAL

Email*

CALL US

(08) 8414 7100

EMAIL US

barkuma@barkuma.com.au

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Barkuma acknowledges and pays respects to the Kaurna people, the traditional custodians whose ancestral lands, the Adelaide Plains, we live and work on.

We acknowledge the deep feelings of attachment and relationship of the Kaurna people to country and we respect and value their past, present and ongoing connection to the land and cultural beliefs.