Registration - Personal Details

You have elected to create a team. To do so you must first register. If you are already a registered member, please login.

Welcome to the registration page! At the end of this registration process, an individual fundraising page will be created in your name and be available for you to personalise, making it easier to fundraise, promote your fundraising and thank your sponsors.

Required fields are marked with an *

If you have a team prepaid payment code please enter it below

Personal Details

/ /

Emergency Contact Details

Postal Address

Contact Details

Account Details

This user name will be used to create your individual fundraising page.
Hint: Simply enter your first and last name
Team captains: Do not put your team name here.

Personal Donation

Kickstart your fundraising by sponsoring yourself. Your personal donation will be included on your fundraising web page.
Sponsor yourself $25
$40
$80
$120
$200
$400

other amount
* Please note all donations are tax deductible - an automatic receipt will be issued by email.

Your Fundraising Page

The below fields will appear on your fundraising page

Did you know?

* The average age of diagnosis of MS is just 20-40 years 

* MS affects three times as many women as men 

The Multiple Sclerosis Society of Western Australia (MSWA) aims to minimise the impact of multiple sclerosis on all individuals affected by the disease, as well as their families, carers and the community, by offering a wide range of services, equipment and support. MSWA's goal is to assist everyone affected by MS to live life to their fullest potential and secure the care and support they need, until we ultimately find a cure.

Your registration is not finalised until you have confirmed payment!
 






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