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ABA new membership submitted by a volunteer or through a Branch Office.

Instructions for submitting this form.

Please note:
You can only use this form if you have an email address for the new member.

If you don't have an email address for them you will need to ring Head Office with the details (03 9690 4620) or post them to ABA, PO Box 33221, MELBOURNE  VIC  3004 - do not email them as credit card numbers should never be sent in emails.

Complete this form as if you were the new member. In particluar:

  1. Enter the new member's email address in the Email Address field under the Total Amount line.  NEVER enter your own email address.  If you enter your own email address the new member's details will replace your details in your personal contact record.
  2. Enter a Username for the new member.  (always Check Availability). If you can't ask the new member to suggest a username, then choose something they should be able to remember.   Some suggestions are First_nameLast_name eg. JaneKincaid, or First_nameLast_name.LocalGroup eg. JaneKincaid.Brunswick.  The email the new member receives will include this username.
  3. You can enter anything for the password.  A new member will be able to create a new password the first time they try to login.
  4. If this membership has come through a branch office or MD shop please include that infomation in the Reference field eg Vic BO, Qld MD shop otherwise...
  5. If this membership has come through your activities as a volunteer please enter your member number in the Reference field.  This will let us contact you if we have any queries about this membership. (This information appears on the receipt sent to the new member which is why we are not asking for your email address or phone number.)

 

 
You must enter an email address belonging to the new member. NEVER enter your own email address. If you enter your own email address the new members details will replace your details in your personal contact record.
Total Amount
Contact details for personal memberships submitted by volunteer
Details for new member
NEW MEMBER'S POSTAL ADDRESS
Australia
New member's phone details
Billing Name and Address
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A bit about you

About your baby

Enter in your estimated due date OR the birthday of your youngest child
 

About your family

 
If you have other children, what are their birthdays?

New member question

How would you like to receive your quarterly magazine?