Application for Membership

Download Application Form

Please fill in your details below and we'll be in touch to process your payment.

You can also download an application form and return it directly to the house for processing.

Type Of Annual Membership

Individual ($10)

Family ($20)

Type Of Member

New

Returning

Membership Year

Contact Details (for family membership, please enter the primary contact)

First Name

Last Name

Phone

Address

I/my family wish to become a member of the Woodend Neighbourhood House and support the purposes of the House. I/we agree to comply with the Constitution and Code of Conduct of the Woodend Neighbourhood House (available at woodendnh.org.au). I/we understand that my personal information will be stored for the purpose of membership records.

I/we consent to receive promotional material via email and/or sms

Yes

I/we consent to the use of my/our image for promotional purposes

Yes

Thanks for your enquiry, we'll be in touch to confirm your membership and process your payment!

The information contained in this application will be treated in accordance with the provisions of the Privacy Policy of the House