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COTA NT Membership Application

COTA NT Membership Application

How to join

COTA NT Membership Application

  • Date Format: DD slash MM slash YYYY
  • Joint Membership

    For joint membership applications, please fill in the details below for the second applicant. Joint membership is only available to two people living at the SAME address.
  • Date Format: MM slash DD slash YYYY
  • Payment and Membership Details

    On receipt of your application form, our Membership Officer will contact you and arrange payment. You can pay over the phone by credit card. You will be required to supply the card number, cardholder's name, card expiry date and CSV number (the 3-digit number on the back of the card).

About our memberships

Your personal details

Your personal details may be used to contact you with information about COTA NT services. By providing us with your details, you give us permission to contact you unless you advise us otherwise. If you do now wish to receive information or if you want to access or change your personal details, please call COTA NT on (08) 8941 1004.