MEMBERSHIP APPLICATION FORM

To apply for membership on line:

1. Please fill out this confidential form as fully as possible
2. Then press the "Review My Details" button.
3. Review your details before submitting.
   • Press your browser's Back button, if you wish to make changes.
   • Otherwise press the Submit button.
4. You will receive a welcome email letting you know the next step:
5. Making contact with one of our Big Sisters to arrange an informal induction interview to complete your application.
6. You can organise payment of the subscription before or after sending your details.

* indicates required information.

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APPLICANT DETAILS

* First Name:
* Surname:
* Email:
Date of birth (dd/mm/yyyy):	//
Femme name (optional):

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SUPPORTING PARTNER (if applicable)

First Name:
Surname:

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MEMBER REJOINING (if applicable)

I was previously a member of the Seahorse Society

Name:
Member Year/No:

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INTRODUCING MEMBER (if applicable)

I am being introduced to the Society by a current member

Member's name:
Member No:

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CONFIDENTIAL CONTACT DETAILS

Name and postal address to appear on the envelope for mail and magazines, posted in a plain cover. Leave empty if you do not wish to receive Seahorse mail.

Title:	| Mr: | Mrs: | Miss: | Ms: |
Name:
Street address:
Suburb/Town/City:
State:	Select one NSW ACT NT QLD SA TAS VIC WA Not in Australia
Postcode:
State, Country (If not Australia):

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Magazine

* The monthly magazine can either be delivered by mail to the above address, or downloaded as a pdf file. If you choose the latter you will be informed of your logon details to access the magazine after you become a financial member.

I will download it:
Send it by mail:

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BACKGROUND

* To assist with processing your application, please briefly describe your interest in cross-dressing.

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HOW DID YOU FIND OUT ABOUT THE SEAHORSE SOCIETY?

Select one from the menu. This website Another website Phone book The Gender Centre Friend Seahorse Member Health Professional Magazine article Other source

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INDUCTION INTERVIEW CONTACT DETAILS

How would you like to be contacted to organise your interview?

* Please select at least one:	Email Phone Mail to your contact address
* Your contact name:
Email address:
Phone Number:
Preferred time to call:

* To assist with making contact with the appropriate Big Sister for your area, please one of the following.

Select one from the menu. Central Coast North of the Harbour South of the Harbour West/Hills District Penrith/Blue Mountains South Coast Northern Beaches Newcastle/Hunter Other Areas

If you would like to give a preference for arranging your induction interview, we will try to accommodate it.
Where (suburb/town) and when (day/time) would be most convenient?

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SUBSCRIPTION

The annual subscription is $50 (plus $2 if paying by PayPal), due on 1st March each year.
A pro-rata subscription should be included with your application as shown in the table below.
Subscriptions will only be refunded if you have an induction interview and you either withdraw your application or your application is unsuccessful.

Please note
Online applications will not be processed until payment is received. You may pay by posting a cheque or money order to:
Membership Secretary
PO Box 6179
West Gosford, NSW 2250

or by paying with PayPal

* : I will be paying. : I have paid.

* Select method of payment

Month of application	Pro-rata Subscription	Cheques/Money Order	PayPal
JANUARY-FEBRUARY	$50 (plus $2 if paying by PayPal) Membership valid for the following year

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I wish to be considered for membership of the Seahorse Society of NSW.

* I agree to adhere to the Rules and follow the Guidelines of the Society (both open in new window/tab).
You must agree to this to proceed

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Have you filled in all the required information marked *?