Membership Level change You have selected the NP Membership - Concession membership level. The price for membership is $9.00 per Year. Membership expires on 30 June 2022. Do you have a discount code? Click here to enter your discount code. Discount Code Account Information Already have an account? Log in here Username Password Confirm Password Email Address Confirm Email Address Full Name LEAVE THIS BLANK More Information Title Mr Mrs Miss Ms Mx Dr Prof Rev First Name Last Name Pronoun She/Her He/Him They/Them Date Of Birth Mobile Number Home Phone Address Line 1 Address Line 2 Suburb Postcode State Country Constitutional Agreement: I declare that the information is true and correct. If granted membership, I agree to uphold the Constitution and Rules of the Association. Gender Identity Female Male Transgender Female Transgender Male Queer Gender Diverse / Non Binary Other Rather Not Say Sexual Orientation Gay Lesbian Bisexual Pansexual Queer Heterosexual Asexual Other Rather Not Say DisabilityDo you have a Disability? N/A Sensory Disability (Vision, Hearing, Spatial, etc) Intellectual Disability Mental Health Condition Physical / Mobility Disability Other Rather Not Say OriginAre you of Aboriginal and/or Torres Strait Islander origin? No Aboriginal Torres Strait Islander Aboriginal & Torres Strait Islander Rather Not Say Privacy The Association is committed to the privacy of your personal information supplied on this form. The Membership Register is held in a locked filing cabinet. The Association does provide outside agencies with statistics and general information on its membership. The Association will not provide your personal data to other organisations without your prior consent. Consent Use and disclosure of personal information: I consent to the information provided in this application being used to keep me up to date on activities of Newcastle Pride Inc. The information may also be used to generate statistics and to provide source material to assist in grant and sponsorship applications and claims on behalf of Newcastle Pride Members. Would you like to set up automatic renewals? Yes, renew at $9.00 per Year. Payment Information We Accept Visa and Mastercard Card Number Expiration Date CVC Discount Code Processing...
