Council On The Ageing Tasmania Inc. >> Individual Membership

Individual/Joint Membership Form (NEW Members only)

COTA individual Membership is open to all people over 50 years of age. You can join us by :- .

1. Submit online by completing the form below, pressing "email", and sending a cheque or money order payable to COTA (Tas) for the amount selected below.

2. If you wish to pay by credit card please fill in the form below and press "email". Upon receiving your inquiry we will contact you to gather your credit card details, and process your payment.

3. Print out, complete this form and send with your cheque or money order (no cash please) to COTA (Tas), 2 St Johns Avenue, New Town 7008. To download a copy of the form please click here

Surname:
Title:
First name:
Date of birth:
Address:
Postcode:
Telephone:


Surname:
Title:
First name:
Date of Birth:
Address:
Postcode:
Telephone Number:

Membership Category
Annual fees are due 1st of July each year
Full year (July - June)	Single $18 Joint $24
Half year (Jan - June)	Single $9 Joint $12
	Donation to COTA: $
COTA has a Confidentiality Policy which guarantees privacy of all personal information. We will not pass on any information to any third party.

Individual/Joint Membership Form (NEW Members only)

Support Us