A Touch of TLC Barter Bank Customer Registration Form

A Touch of TLC Barter Bank Registration Details

Please fill and complete your Registration Form and upload this form via the website and purchase your Membership now
State Or Territory Of Australia
Regional Zone
Barter Bank Community Membership Category & Joining Registration Fee

New Member Contact Details

Christian name:Family name:
D.O.B.

DayMonthYear
Age
Business Name if applicable:
Business Telephone Number:

Area CodePhone Number
Home Address For Pickups And Deliveries:
Postal Address For Membership Card:
Email Address for receiving e-Directories:
Contact Telephone: (Mobile)

Area CodePhone Number
Services And/Or Goods You Are Going To Be Contributing By Offer To A Touch Of TLC BarterBank Community 100 Words Maximum Please For E-Directory Formatting

0/100
Payment Mode

Founding $97 Intermediate $147 Standard $197
Date Paid:

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Method of Payment

Payment Reference:
If you would like to provide names and contact details of four referrals who you believe could benefit from being a member of A Touch of TLC Barter Bank Community, it would be highly appreciated & encouraged.
Please sign here to acknowledge you understand and agree to abide by ‘A Touch of TLC Barter Bank Terms’:
Date:

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Should be Empty:

A Touch of TLC Barter Bank Registration Details