Membership Application Form

Your membership application will be considered by the Board. If accepted you will be registered as a member.

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Gender(Required)
Gender(Required)
Acknowledgement
Ordinary Member
Have historical or Traditional connection to the community of:

Associate Member
Clear Signature
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Apunipima Cape York Health Council acknowledges and pays respect to Elders, both past and present and all generations of Aboriginal and Torres Strait Islander peoples now and into the future as the Traditional Owners of this land.

 

Aboriginal and Torres Strait Islander people should be aware that this website may contain images, voices or names of people who may be deceased.

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