Social Membership Form

2023/2024 Social Membership Form

As a social member, you will not have voting rights. Social membership benefits at local businesses, to be advised.
Title
Pronouns
Name*

First NameLast Name
Preferred Name
Postal Address*
E-mail*
example@example.com
I consent to receiving marketing and newsletters via e-mail
Phone Number*
Organisation (if relevant)
Rules for Membership

1. Membership is available to anyone 18 years of age or older.

2. You nominate that notice of meetings be served to email address provided
I, First Name* Last Name* have read, understood and accepted the Rules for Membership.
Once you submit your application, we will await for your funds to be transferred then contact you on your social membership application.

Thank you for your interest in being a social member of Top End Pride!

My Products

Social Membership

Enjoy benefits at local businesses (freebies to be advised) and member-first offers. This membership has no voting rights.

$10.00AUD

Total

$0.00AUD

2023/2024 Social Membership Form