Email
Password
Agency Name
State:
Category:
Hours of Operation:

Step 1: Choose Your Membership Type

Helplines Australia welcomes individuals and agencies to become members and participate in the representation of the helplines industry in Australia.

Please select below type of membership. (Please note: Agency membership requires two individuals for representation of Helplines Australia committee, one person to be the representative and one person to be the nominee.)
Membership Type:

Step 2: Listing Information
The following information will be used for Helplines Australia’s - Helpline Search facility. Please make every effort to provide this information accurately and up-to-date.
Name of your Helpline:
Helpline’s Phone Number:
TTY (if applicable):
Where does your Helpline reside?
Cost of this call:
Hours of service:
Open public holidays?
If calling after hours, then:
Category/s you wish to list in:











Attach your Helplines Logo file:
Max File size: 200KB
File extensions allowed: *.jpeg, *.gif, *.bmp, *.tiff, *tif
Please upload a logo file that is in a “square” aspect ratio

Step 3: Contact Details
The following information will be used as contact details for Helplines Australia to provide you with all relevant member services. This information will not be made public.

As per NSW Department of Fair Trading Guidelines we require someone from within the agency to nominate the applicant for membership.
Name:
a staff member of
Agency/ Helpline:
Nominate the applicant who is personally known to me, for membership of Helplines Australia.
E-mail address:

Application
Your full name:
Name of Organisation:
Address Line 1:
Address Line 2:
Suburb:
State:
Phone Number:
Fax Number:
Email Address (will be for login):
Choose your password:

Step 4: Choose your Membership Level
Membership is open to any individual or agency offering telephone or Internet support services to the public or specific community groups. We have four levels of membership reflecting the diversity of services.
Membership Level:



Step 5: Payment Method
Helplines Australia will only accept payment by cheque or money order or direct bank transfers in ($AUD) Australian Dollars. Please provide details of your helpline when making such payments.
We currently accept two methods: