User account | National LGBT Health Alliance Australia

Account information

Only members of the National LGBT Health Alliance can register to use this website. Find out about joining here. All individual members and staff of member organisations must register in order to access the members-only parts of the website.

E-mail address: *

If you work for a member organisation, please use your work address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Your information is private for our own records and will not be shown publicly.

Your information

Your first name: *

Your surname: *

Are you an: *

If you are from an Alliance member organisation, select which one:

Or give the full name of the organisation if it's not listed above:

Your role in your organization:

Telephone number: *

Fax number (if applicable):

I agree to be bound by the constitution of the National LGBT Health Alliance and to adhere to its policies and code of conduct *

The information in this form will be sent to your organisation's representative contact person for confirmation. We will be in touch as soon as we have heard back from them.

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