Sonic at The Shepherd Centre

391-401 Abercrombie Street
Darlington NSW 2008

PO Box 871
Strawberry Hills NSW 2012

Tel	02 9351 7888
Fax	02 9351 7880
TTY	02 9351 7881
Email	info@sonic.org.au

Sonic Membership Form

Name
Email address
Telephone
Mobile
Age
Occupation (name of school, further ed or workplace)
Level of hearing loss
Hearing aids or cochlear implant?
Modes of communication used	Oral AUSLAN BSL
Interests/hobbies
T-shirt size