Associate Members Signup

Fill out this form to complete the registration

Terms:

$50 / Year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Firm/Chambers:* Firm/Chambers is Required

Phone Number: Phone Number is not valid

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Bank Deposit

Bank Deposit
Name: Hunter Valley Family Law Practitioners Association
Bank: National Australia Bank
BSB: 082 514
Account No: 039768156
Reference: Please use your Name as the reference.

PayPal

Pay via your PayPal account

No val Please fix the errors above

Membership Details

A person involved in the practice or administration of family law other than as a solicitor or barrister.