Name *

First Name

Last Name

Would you mind providing a few more details?

The more we know about you, the better we can help you and others in the community. We would never share your personal details with any third parties. Please tick all that apply:

I am an Afghan / multicultural woman living in Australia

I am an Afghan / multicultural woman who has recently arrived in Australia (within 12 months)

I am an Afghan woman living outside Australia

I am an individual interested in supporting Afghan Women On The Move

I am from an organisation interested in supporting Afghan Women On The Move

Other (please provide details in your message)

Which best describes your age group?

Under 16

16 to 24

25 to 44

45 to 64

65 +

Can we add you to our mailing list? *

We send occasional newsletters and updates relevant to the Afghan Women On The Move community. You can opt out at any time.

Yes please

No thank you