DACSSA
Disability Advocacy and Complaints Service of Sourth Australia Inc. To Complain Is OK!

Membership Application Form

Membership of Disability Advocacy and Complaints Service of South Australia Inc. is open to any individual person or organisation the Management Committee may admit, who agrees to support the objects of the Association and be bound by its rules.

You many use the form below to submit your application for membership.

Name
Email
Address
Phone
Mobile
Primary Disability (If Any)
Comments