Northern Territory Greens Membership

Thank you for supporting the NT Greens

This form securely accepts Visa or MasterCard, Credit or Debit cards, using eWAY.

If you wish to make a donation to the NT Greens as well as pay your membership fee please pay your membership fee on this form but make your donation here.

By submitting this form, you are agreeing to the following declaration:   I am not a member of another political party and will not join another political party while I am a member of The Greens. I agree to abide by the Charter and Constitution of the Australian Greens, and the Constitution of the NT Greens. I acknowledge that my membership is subject to approval by the NT Greens.

NT Greens membership options

Membership includes:

Membership of The NT Greens, and
Membership of the Australian Greens (national body)
Please select the Membership fee based on your income level below.
 

Membership Details
Please select 'yes' if you would like your membership automatically renewed when it next comes due.
 
Credit Card Information
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Billing Name and Address
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Further Membership Information

Please add your residential address details below if different to the billing address above.

We would also appreciate you supplying as much contact information as you feel comfortable providing. The Greens is a grass-roots party and our strength is our members - we'd like to be able to help our members, new and old, share their energy and skills to help us grow.

If you are a University or TAFE student, or a member of a Union, let us know its name.

Finally, let us know if there are any Greens activities and areas you would like to get involved with.

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