Membership Type

Personal Information

Contact Information

Confidential Information

Your Details

Other Party

Marriage/defacto

Marriage Defacto
Yes No
Yes No
Yes No
Yes No

Your Children

Yes No
Yes No
Yes No Maybe

Your Current Status

Yes No
Yes No
Yes No

Details of Children from current/subsequent relationships

Children's Living Arrangements

Yes No
Yes No

Property Settlement

Yes No
Yes No

Details about ownership/tenancy of the house you shared with your ex

Purchasing Renting
Yes No
Yes No Amount (per week)

Domestic Violence Restraining Orders

Yes No
Yes No
Yes No Details
Yes No Details

Legal Aid

Yes No
Yes No
Yes No

Previous Solicitor

Problems to be resolved

Permission

Yes No
Yes No
Yes No
Yes No

Payment Type

Credit Card Details

- - -

Payment Details

Make cheques payable to:
Men's Rights Agency

Post cheques to:
Men's Rights Agency
P.O. Box 28,
Waterford, Queensland 4133 Australia

Registraton Method

Success

Your application has been received. Once your payment has been processed and approved you will receive a confirmation at your registered email address.

Click the button below to print out the forms.

Fax your registration forms to: (07) 3200 8769

If you have selected to pay by cheque make your cheque payable to Men's Rights Agency and mail it to:
Men's Rights Agency
P.O. Box 28,
Waterford, Queensland 4133 Australia

Make sure you include your details with the cheque so we can match your payment with the registration form.

Click the button below to print out the forms.

If you have selected to pay by cheque make your cheque payable to Men's Rights Agency.

Mail your printed forms along with your cheque (if relevant) to:
Men's Rights Agency
P.O. Box 28,
Waterford, Queensland 4133 Australia