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COTA NT Membership Application

How to join

It’s easy to join online by filling in the form below (we will call you on receipt of your application to accept payment over the phone)
Or by sending in an application form (click here to download) and post along with a cheque made payable to COTA NT to Membership Services, COTA NT, PO Box 852, Darwin NT
Or you can call us on 08 8941 1004 during office hours (Monday to Friday, 9am – 3pm).

COTA NT Membership Application

Name
Title First Middle Last
Your date of birth
Date Format: DD slash MM slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
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.
Name
Title First Middle Last
Date of birth
Date Format: MM slash DD slash YYYY
Email
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).
To help us represent you, please indicate if you:
- Are working
- Not working
- Are on a pension or government allowance
- Are a self-funded retiree
- Identify as Aboriginal or Torres Strait Islander
How long have you lived in the Territory?

About our memberships

The single joining fee is $44. The joint joining fee is $56
Joint applications must be from two people living at the same address
Membership currently runs from the beginning to end of each financial year
A joint membership can be purchased for any two people with the same postal address
Joint members receive one magazine (ONE COTA four times a year) and one membership card each
Members must abide by the COTA NT Members Code of Conduct
All members are encouraged to exercise their voting rights at the AGM (held in October) and to fully participate in our advocacy work.

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.

COTA NT Membership Application

How to join

COTA NT Membership Application

Joint Membership

Payment and Membership Details

About our memberships