Join the NTMBC today

Application for Membership
Northern Territory Multiple Birth Club (NTMBC)

Date:

New Application: Renewal:

First Name:
Family Name:
Partners First Name:
Partners Family Name:

Postal Address:
Residential Address (if different):

Phone Number:
Mobile Number:
Email:

Are you interested in receiving information regarding club events via email, including newsletters?

Do you give permission for the NTMBC to print your details in the monthly club newsletter? This includes child(rens) birthday and social photos/articles?

Name of all children

	Given Name	Surname	DOB	M/F
1.
2.
3.
4.
5.
6.

Membership is open to all parents or carers of multiple birth children.

Full membership entitles the holder to access the library, able to attend playgroup, access to our closed club facebook page, vote at committee meetings, access to help and support advisors, receive the regular club newsletter and receive club discounts at specific local outlets and discounts available through AMBA. Will also receive a “Welcome Pack” upon joining.

Associate membership entitles the holder access to our closed club facebook page and to receive the newsletter.

Expectant parent membership entitles the holder access to our club closed facebook page, access to the club library and to receive the regular newsletter and will receive a “Welcome Pack” upon joining. Once your babies are born then full finacial fees apply.

Fees are payable within 8 weeks of joining and renewals are due 1 March each year. Fees may be paid in two, six monthly instalments each year. Any members joining after September 1 pay half the yearly rates. Only financial members will receive a copy of the newsletter.

Annual Fees are due 1 March each year
Half Annual Fee ($17.50) payable if joining from 1 September

Full Financial Member – Annual Fee $35
Associate Member – Annual Fee $15
Expectant Parent – Fee $10

Alice Springs Full Financial membership for 2017-18 – $30

Payments can be made by:

Direct Deposit to Bendigo Bank –

Account Name: NT Multiple Birth Club

BSB: 633 000

Account No: 156727133

Please ensure your reference as your name.
Or
Post a cheque to NT Multiple Birth Club, PO Box 42069, Casuarina NT 0811
Please do not send cash in the mail.
Or
Pay at any of our weekly playgroup sessions.

** Paypal coming soon **

Please email to tell us of your payment and receipt number (if applicable) to ntmbc@live.com.au