General Membership Application

"*" indicates required fields

Personal Details

Name*

First Name Last Name

Email*

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

Mobile*

Member Declaration

COTWA does not offer a prorated fee structure in relation to cancellation of my membership e.g. If my membership is cancelled in the middle of a membership year, the full annual membership fee applies and fees will not be refunded.

Membership Rules Consent*

I UNDERSTAND AND ACCEPT

Payment

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Membership Category*

Annual Membership

Fee Reduction Code

If you have been provided a code to reduce your fees, please enter it here and click "Apply"

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Stripe Customer ID

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Stripe Receipt URL

Total

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.

Name

This field is for validation purposes and should be left unchanged.