Variety NT Membership Application Variety NT Membership Application This application form is for new and existing members. 2024 Membership Application / RenewalThis application form is for new and existing members of Variety- the Children’s Charity Northern Territory. New member applications must be nominated by current financial members. Costs are annual, inclusive of GST and due on the 1st October each year.General MembershipOrdinary Members shall be entitled to a vote of equal value at all general and special meetings of the Association. Ordinary Members shall be at least 18 years of age – fee $30.00 per annum.Family MembershipFamily members apply to households where the members reside as a family. Both parties must be at least 18 years of age however only one member shall be entitled to a vote of equal value at all general and special meetings of the Association. It the household member holding voting rights is unable to attend any meeting, they may pass that vote to their partner by proxy for that meeting – fee $50 per household per annum.Associate MembershipAssociate members include those aged under 18 years and others determined by the Board at any time. Associate Members cannot vote but may have other rights as determined by the Board, or by resolution at a general meeting. Associate Members shall not be restricted by age and include corporate and business supporters – fee $30.00 per annum.Life MembershipLife Members shall be entitled to a vote of equal value at all general and special meetings of the Association. Life membership is determined by the Board of Management at any time, after nomination by a current financial member, and bestowed upon any member for services to Variety.I wish to apply for(Required)Select MembershipNew Ordinary MembershipNew Family MembershipNew Associate MembershipRenew Ordinary MembershipRenew Family MembershipRenew Associate MembershipAssociate Details(Required) U18 individual Company Personal DetailsTitleMrMrsMissMsDrOtherTitle NameFirst(Required) Last(Required) Family Name(Required) Family Members Add RemoveCompany Name(Required) ABN Postal Address(Required) Street Address Address Line 2 City State Australian Capital TerritoryNorthern TerritoryNew South WalesQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia Postcode Phone(Required)Email(Required) New Membership NominationNew member applications must be nominated by current financial members. By submitting this form, you give consent for Variety NT to make contact with the Nominees for confirmation.Nominated By(Required)Name Seconded ByName How did you hear about membership of Variety NT?(Required) Newsletter SubsciptionThe Variety Newsletter can be downloaded from the Variety NT website or can be sent to you via email when available. Would you like to receive it via email? Yes No Payment DetailsTotal Payment Method(Required) Credit Card Direct Deposit Direct Deposit: BSB: 633000 Account: 161961693. Reference: Membership, your name.Credit Card(Required) MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name CAPTCHA Δ
