Your full name:

Your email:

Your contact number:

Type of membership - volunteer (if interested in volunteer activities) or supporter only: Dropdown menu - SELECT ONE
volunteersupporter

Your volunteering activity/activities of interest:
home readinghelping adultsproviding transportgroup activity involvementsupporting pregnant womenother activities as neededother - please specify in additional comments sectionunsure

Your date of birth (dd/mm/yyyy):

Your Working with children check (WWCC) - if volunteering (https://www.service.nsw.gov.au/transaction/apply-working-children-check):

Your WWCC expiry date:

If possible, please attach a copy of the email verifying your WWCC that you would have received:

Membership fee: Dropdown menu - SELECT ONE
individual $20concession $10family $25

Additional family members - if applicable (include full name, DOB, WWCC and expiry):

Payment method (with whichever method you choose, please put your name as a reference):
Dropdown menu - SELECT ONE
direct transfer (Regional Australian Bank, BSB 932000, Acct name: Armidale Sanctuary Humanitarian Settlement, Acct no: 654999)paypal - use the link below

Any additional comments:

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