COTA WA New Member Sign-up Form

COTA WA New Member Sign-up Form

Enter your email address to receive our monthly newsletter and important updates
Optional – Enter your phone number if you’d like to receive updates and to enable us to contact you for events and groups.
Optional – Provide your postal address to receive physical copies of our Seniors Guides and other materials
Would you like to volunteer with COTA WA
We offer various volunteering opportunities. Let us know if you’re interested
How did you hear about us?
Do you agree to become a non-voting member of COTA WA (Member)?
By ticking this box you agree to become a non-voting member of COTA WA Inc. with the rights set out in the constitution of COTA WA (Constitution). In doing this you consent to being specified as a member of COTA WA Inc. member register.