MyNT Membership Signup Form
Full Name *
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Email *
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Contact number *
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Suburb (you must be living in the Northern Territory to be a member) *
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Date of Birth (you must be 15-30 years old to be a member) *
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Gender *
Do you have Ochre (Working with Children) Card? *
Which activities are you interested in? (Select all that apply) *
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Why are you interested in becoming a member?
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Membership payment will be sent through: *
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