Aspect (Autism Spectrum Australia) : Register

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Joining Team Shine bright with Bella for autism

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Personal Details

First Name *

Last Name *

Email Address *

Password*

Phone *

Postal Address *

Postal Address

Address Line 1 *

Address Line 2

Town/Suburb *

Postcode *

State *

Country *

Additional Information

Promotional Activities

Choose your promotional activity preferences. You can choose multiple options. *

My light display street address (incl. number) can be promoted publicly.
My light display street name only can be promoted publicly.
I'm interested in being involved in a social media post featuring my entry.
I'm happy to participate in media interviews.
I do not wish to be included in any promotional activities.

A Few More Questions

What or who inspired your participation? *

How did you hear about Shine for autism? *

Are you linked with an Aspect school? If yes, please select the specific school.

Terms and Conditions

I agree to the IN IT for AUTISM fundraising Terms & Conditions. *

Joining Team Shine bright with Bella for autism

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Personal Details

Postal Address *

Postal Address

Additional Information

Promotional Activities

A Few More Questions

Terms and Conditions

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Call us 1800 288 476 (AUTISM)

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initforautism@aspect.org.au