hereby apply to become a member of the aforenamed incorporated association. In the event of my admission as a member, I agree to be bound by the constitution of the association for the time being in force.
Click here to download constitution.
If you do not know a current member of the association to nominate you, please select any member from the committee to be your 'proposer': www.doulanetwork.org/our-committee (Christa Buckland, Claire Wyborn, Ellen Croucher, Moran, Liviani, Jennifer McCartin, Julia MacLeod, Vicki Hobbs). Type their name in the box below and put firstname.lastname@example.org as the email.
a member of the association, nominate the applicant for membership of the association.
If you do not know a current member of the association to second your nomination, please select any member from the committee to be your 'seconder' (must be different from the proposer - Christa Buckland, Claire Wyborn, Ellen Croucher, Moran Liviani, Jennifer McCartin, Julia MacLeod, Vicki Hobbs). Type their name in the box below and put email@example.com as the email.
a member of the association, second the nomination of the applicant for membership of the association.
Almost there... :)
Please provide some additional information about yourself. Items marked with an asterisk(*) are required fields. Other fields are optional.
We are required to keep a 'register of members' which includes:
- the name of the member- their postal or residential address- the date the member joined
This record (by law) must be open for inspection, free of charge, by any member of the association. Members cannot use this information for anything other than the purposes stated in the constitution (sending a newsletter, notice of meetings/events or other material relating to the association). You can request that your address and joining date be concealed from the 'open' record (only your name will be shown).
All information collected in this membership form, other than your name, address and the date you joined, will be kept in a separate, sealed record.
The annual membership fee is $20 and is due upon completion of this form. After clicking submit below you will be redirected to the payment portal. If for any reason your application is not successful, we will refund your payment immediately.
Thank you for your application! When you click submit (below) you will be redirected to a payment page. Once you pay you will have instant access to our membership site and will receive a welcome email. You will also receive a copy of this form for your records.
Please check your spam folder in case the emails land there. If you do not receive our emails, then it means something has gone wrong and we have not received your application. Please let us know if you have had difficulty completing this form. :)