Challenging Arthritis by Arthritis NSW

For assistance call 1800 332 131

Challenging Arthritis - an initiative of Arthritis NSW

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About the program:

Program
Development

What do I need?

Joining the Program

Start Challenging Arthritis

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Join Challenging Arthritis

To register online simply fill out the form below:

If you are not a member of Arthritis NSW or ACT please contact our office on 1800 011 041 or click here to print a copy of our membership application and send with your payment.
The form is an Adobe PDF, you can download Adobe reader here if required

Are you a current member of Arthritis NSW or ACT? if no select "None":

If yes please enter your membership number (if unknown please call us on the above number):

Title:

First Name:

Last Name:

Contact Number:

Email Address:

Re-type Email Address:

Address:

Suburb:

State / Territory:

Post Code:

Date fo Birth: (DD / MM / YYYY)
/ /

Your gender:

How long have you had arthritis:

Type of Arthritis (if unsure enter 'not sure'):

Have you discussed it with your:

Please select your employment status:

How would you like to participate in the program?
Handbook
Internet

Have you participated in any other programs?

If the above is yes, please tell us which.

Please enter a password:

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How did you hear about us:

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