This page uses a Javascript Tree, but your browser does not support Javascript.
Either enable Javascript in your browser or upgrade to a newer browser version.

take action! • membership renewal

Membership Renewal

Membership Renewal Form

Dying with Dignity Victoria Inc
Reg No. A0006974B ABN 80 591 186 892

Step 1 of 3 — Select your renewal payment
Membership Fee:	Click the appropriate membership type to add it to the shopping cart, then click your browser's Back button to return here and continue. Membership fees include GST where applicable.
Annual...
Lifetime...	^ Will be billed in two $137.50 monthly payments.
Step 2 of 3 — Select a donation amount (optional)
Donation:	Donations are optional and are GST-free. Click a donation amount and then click your browser's Back button to return here and continue.

	You may add multiple values to achieve any total.

Step 3 of 3 — Complete your payment
	Complete your payment using the secure checkout. Be sure to enter your full name and address in the checkout system so that we can match your payment to your membership record.

SECURITY

Credit card transactions are made using a secure server.

DWDV accepts the following credit cards for on-line renewals.

Donations

DWDV is a self-funded,
non-profit organisation, relying on volunteers, membership fees and donations to continue its work for all Victorians.

Fees are deliberately kept low so any additional donation you are able to make also helps us greatly.