Cockatoo KIDS Club Membership Form

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Cockatoo KIDS Club Membership Form

All fields are required except where indicated

Note: Payments will not be processed without the application form completed. 

Note: street number and street name are needed for all addresses

Payments must be made with the application form.
Annual membership is $20/year.

Please make your payment to:

EFT Payment details
Account Name: Native ARC Inc.
Account No: 527151913
BSB: 016454
Reference: Cockatoo Kids
Cockatoo KIDS Club
C/O Native ARC
172 Hope Road
Bibra Lake WA 6164
and attach a screenshot, or reference number below to submit this form.

Alternatively Payment can be made in-person directly via cash or cheque by visiting the centre:
172 Hope Road
Bibra Lake WA 6164
Phone: (08) 9417 7105
Native ARC website
*A merchant fee of 0.46% applies to credit card payments.

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9 Coleville Crescent,
Spearwood 6163

Po Box 1215, Bibra Lake DC,
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