2026 Partnership Prospectus Application Form

All prices quoted in this prospectus are inclusive of GST.

To secure a partnership package outlined in this prospectus, please complete the application form below.

On receipt of the application form Rosa Siderelis, Partnership Lead Continence Health Australia will contact you.

Organisation details

Organisation name

ABN

Postal address

Telephone

Website

Authorised person details

Title

First name

Last name

Phone

Continence Health Australia Membership status

MemberMember – lapsed to be renewedNon-MemberNon-Member – would like to join

To join or renew, visit continence.org.au/get-involved/memberships

National Continence Health conference

Custom stand

Community event

Community event - register interest

Educational partnership opportunities

Catheter course scholarship programNurse Continence Specialists course - register interest

Advertising partnership opportunities

Bridge magazineAustralian and New Zealand Continence JournalEmail banner in InTheNews (ITN) newsletterBanner advertisement on Continence Health Australia's learning platform

Agreement confirmation

I accept the partnership package(s) as outlined in this proposalI have read and agree to the Terms and Conditions included in the Partnership Prospectus

Authourised person

Printed name

Signature

Date

FOR FURTHER INFORMATION

Please contact Rosa Siderelis to discuss other sponsorship opportunities or ideas for individual sponsorship packages.

Rosa Siderelis
Partnership Lead
T: +61 3 7052 5210
E: r.siderelis@continence.org.au