Association Membership Subscription

Association Membership Subscription
If you are purchasing membership on behalf of another person please enter your name and email in the fields provided, thank you.
Member's Full Name *

First Name Last Name
Member's E-mail *
Purchaser''s Full Name *

First Name Last Name
Purchaser''s Email *
Member's Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Member's Phone Number *

Area Code Phone Number
Member's Interest *

Person with a disability Family Student Professional
Membership Status *

New Membership Renewing Membership
View Terms & Conditions
Terms & Conditions *

I have read and agree to the Terms & Conditions of the Belonging Matters Association
Membership Type *
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Standard Association Membership $ 35.00 AUD

Concession Association Membership $ 25.00 AUD
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