Apply for membership

Choose your facility and tier

Tell us whether you're applying for one person or a couple, and which benefit tier suits your area.

Application type

Single Facility One person. A single fixed cash benefit paid to your nominated beneficiary.

Double Facility Two people (often a couple). A benefit is paid on each death.

Please choose Single or Double Facility.

Benefit tier

Choose the tier that best matches funeral costs in your area.

Please select a benefit tier.

Applicant 1 details

Tell us about the first (or only) person on this application.

Applicant 2 details

Tell us about the second person on this application.

Beneficiaries

Who should receive the benefit? Name a primary beneficiary, and an optional secondary one. For a couple, these apply to both members.

How did you hear about us?

If someone referred you to the Fund, let us know so we can thank them.

Were you referred by an individual or organisation?

Yes

Please let us know if you were referred.

Review & submit

Please check your details before submitting. You can jump back to any step to edit.

Preferred language

Choose the language for your welcome pack and the updates we send you. We will send your confirmation, your Product Disclosure Statement and your welcome guide in this language.

English

Türkçe

العربية

Declarations

I confirm I have read the Product Disclosure Statement (PDS).

Please confirm you have read the Product Disclosure Statement.

I permit the nominated beneficiaries to receive the payout in accordance with the Fund's rules.

Please confirm this permission to continue.

I consent to the Gallipoli Funeral Fund collecting and using my and my nominees' personal information - including health information such as a terminal-illness disclosure - to assess and administer this application, as set out in the Privacy Policy. I understand my information may be stored or processed by service providers located overseas.

Please provide your consent to continue.

Application received

Thank you. Your application has been submitted successfully.

APP-…

We'll review your application and be in touch. If you set up Direct Debit, we've emailed you a copy of your Direct Debit Request, and your account will only be debited after your membership is accepted. If you chose Bank Transfer or Credit Card, an invoice will follow from Xero.