Membership Application Form You are welcome to join us as a Member or Friend of BIM.By becoming a Member or Friend you will– Receive our monthly newsletter– Receive other brain injury news and information about events Members also have access to our peer support groups, both online and face-to-face meetings. Types of Membership– Member: Victorian adult living with Acquired Brain Injury– Friend of BIM: Person who identifies with the aims of BIM but is ineligible to become a member Only members may stand for a position on the Committee of Management or vote in elections. Application (Please complete the following) I wish to join Brain Injury Matters as a: Member (I am a Victorian adult living with an ABI) Friend of BIM (please also choose from the following) I am an adult with an ABI living outside of Victoria I am a child (under 18) living with a brain injury I am a friend or family member of someone living with an ABI I work with someone living with an ABI (e.g. health professional, support worker) First Name Last Name Email Address Phone # Address Post code State (in Australia) VIC NSW QLD ACT TAS SA WA NT Other - please state below If outside of Australia, where? Submit