Cuppa Time for Dementia : Register

Plus, if you register by Tuesday 15 Oct, you’ll go into the chance to win 1 of 5 Pamper packs* which include:

☕ $100 Endota Spa Gift cards

☕ $100 Coles Myer Spa Gift cards

☕ $100 Priceline Spa Gift cards

*draw ends midnight Tuesday 15 Oct 2024. The five winners will be drawn and contacted on Wednesday 16 Oct 2024

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Cuppa Time for Dementia Details
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Personal Details

First Name *

Last Name *

Email Address *

Password*

Phone *

Date of birth *

Postal Address *

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Address Line 1 *

Address Line 2

Town/Suburb *

Postcode *

State *

Country *

Organisation Details

Organisation Name

Terms and Conditions

I understand that Dementia Australia cannot pay for my event costs but that they will assist and support me throughout the journey. I agree to the Terms and Conditions *

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Personal Details

Postal Address *

Organisation Details

Terms and Conditions

1300 695 695

fundraising@dementia.org.au