SPEECH (WA) members receive our quarterly newsletter and half-price admission to Parent Information Evenings.

For those who would like to play an active role in SPEECH (WA), we invite members to become involved with the projects organised by our committee.

SPEECH (WA) Committee Meetings  7:30 PM
Monday of Week 2 of each School Term
Meerilinga, 15 Cambridge Street, West Leederville

All members are welcome and encouraged to help out.

Most importantly, the more people who become members of SPEECH (WA), the more influence we have to effect change on the currently inadequate levels of service available to children with speech and language disorders .

To become a member of SPEECH (WA), simply complete the membership form below and press submit.

After successfully submitting the form, click on 'Back'  and then click on the "Subscribe" button to pay by Paypal .

If you prefer to pay your subscription by cheque or money order please print off the form below and send your payment and form by post.

Annual Membership Application (Jan - Dec)
Is your application:		New     Renewal
(Note: Family Memberships include 2 adults)
Name(s):
Date:
Addrress:
Suburb:
Post code:
Phone:	Hm:
	Wk:
	Mob:
Email Address:
Do you wish to receive the quarterly newsletter by email? Yes No
Payment:		Paypal Cash Cheque Money order
NB- For Money Order and Cheque Payments please print this form and post to the address below.
Membership type:		Parent/Family (2Adults) Speech Pathologist Other professional Student
Age range of your child/children who has speech and language difficulties: 0 - 3 4 - 6 7 - 12 13+
Type of Disorder if known:
Your child currently attends:		LDC LDC Waiting List Exited an LDC Telethon Speech & Hearing Public mainstream school Private mainstream school
Other comments
Type the characters you see in the picture below:
Post to: Speech WA Inc PO Box 1031 Willagee WA 6156 Email: info@speechwa.org.au Mob. 0405 310 199