Companion Card - Cardholder Application Form Australia

Companion Card Cardholder Application Form

This allows you to take your loved one out to the movies, theatre, ballet, museums. Your ticket will be free, as your loved one, would find it difficult to do these things on their own.

When they are first diagnosed, this is useful, however as they decline, it is just way too hard to take them to a movie. They will ask incessant questions and will not be able to follow the story.

All 16 pages MUST BE printed and send to Companion Card Program. Applications with missing pages will not be processed.

The Companion Cardholder Application form is available in the following format for you to download and print.

Please do not change any settings when printing this form.

http://www.companioncard.gov.au/cardholders_apply.htm

Cardholder Application Form (PDF, 134 kb, 16 pages)