1 Start 2 Additional Info 3 Review 4 Complete Associate Membership of Living Positive Victoria is FREE. Members receive a free subscription to Poslink, an Annual Report and occasional mail/email updates. You can choose your preferences in the form below. Applications for membership must be approved by the Living Positive Victoria Board of Directors. The Rules of the Organisation are available online at livingpositivevictoria.org.au or can be requested by contacting 03 9863 8733. Your Details I am applying as an * Associate member (I am not living with HIV, e.g. a partner, family member, carer, health care worker). First Name * Last Name * Email * Phone Number * Birth Date * Day12345678910111213141516171819202122232425262728293031 Day MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Year19211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021 Year What is your current gender identity? * - Select -FemaleMaleTrans Female/trans womanTrans Male/trans manIndigenous BrotherboyIndigenous SistergirlNon-binary/gender fluidIntersexOther Other (Please Specify) * Street Address * City * State * Post Code * I would like a member login associated with this email account * Yes No Leave this field blank Next Page >
