Membership

Thank you for choosing to become a member of Kidsafe Hunter.

Please fill out the form below, select print at the bottom of the page and send by mail or fax to the address at the bottom of the page.

Kidsafe would like to make this service Credit Card friendly.

If you are interested in sponsoring the set up of this service for the benifit of others using this page please contact Kidsafe Hunter

Your Full Name/ Organisation:
Your Email address:
Telephone contact number:
Enter your address - Street:
Suburb:
City:	Postcode:
Country:

I would like to become a member of the organisation	Yes No Select
Please select type of membership:		Individual $44.00
		Community Group/School $44.00
		Organisation $165.00

 

Please Print and fill in the below details by hand.

I enclose a cheque/money order for:	$
Your Signature:
Date:

Mail to: Kidsafe Hunter

P.O. Box 580

Charlestown NSW 2290

Fax (02) 49424499

 

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