Membership Form Fill in the details below to be a sign-up as a member of Council on the Ageing NSW: OK Question Title * 1. First Name OK Question Title * 2. Surname OK Question Title * 3. Email OK Question Title * 4. Telephone/Mobile Number OK Question Title * 5. Postal Address OK Question Title * 6. Are you interested in volunteering? Yes No OK Question Title * 7. Are you a member of any similar organisation? No Yes, please provide details OK Question Title * 8. I understand that by submitting this form: I am applying for membership of Council on the Ageing (COTA) NSW. I agree to support the aims and objectives of Council on the Ageing (COTA) NSW as outlined in its constitution, and I commit to abiding by the code of conduct and mission. I consent to receive communications from COTA NSW including, newsletters, invitations, updates and official COTA NSW membership information. Yes, I agree OK DONE
