General Membership Application

"*" indicates required fields

Personal Details

Name*
Please note, your email will be your username to log in to the members area

Member Declaration

Payment

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Membership Category*
If you have been provided a code to reduce your fees, please enter it here and click "Apply"
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When you click "CONTINUE TO PAYMENT" you will be redirected to the Stripe Checkout page. Once your payment has been processed, you will be redirected back to the COTWA website.
This field is for validation purposes and should be left unchanged.

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