Home
About us
The facts
Newsletters
Events
Join
Links
Membership
Research
Facebook
Your Details
First Name
*
Surname
*
Title
*
Mr
Ms
Mrs
Dr
Miss
Mstr
Prof
Email Address
*
Mailing Address
*
Suburb
*
Postcode
*
State
*
Australian Capital Territory
New South Wales
Victoria
Queensland
South Australia
Western Australia
Tasmania
Northern Territory
Note that under the provisions of the Act, the VAA is required to keep a register of members’ names and addresses, and that any member may at any time inspect this information (name and address only). However this information cannot be used to contact or send material to members without the approval of the Committee and without regard to the interests of the membership.
Mobile Number
*
Home/Business number
Membership Category (optional)
Completion of the Membership Category section is optional. However indicating your category will help the VAA to direct the most appropriate information to you.
Membership type
Person with Vitiligo
Parent
Supporter
Medical Practitioner
Other
If Other, please specify
If Medical Practitioner, please specify
If Parent or Supporter, please name person with vitiligo
Are you a member of a local Vitiligo Support Group?
Yes
No
If not, would you like to join one?
Yes
No
Would you like to participate in the running of the VAA to help its members and vitiligo sufferers?
Yes
No
If so, how?
Verification
Please enter any two digits
*
Example: 12
This box is for spam protection -
please leave it blank
:
VAA Constitution:
VAA Constitution 2016
Proposed VAA Constitution
The Vitiligo Society
sex porn
xxx video
filmiki porno