Single-site Membership | Community Child Care Association

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Please choose a membership option:

Membership Type *

Small NFP education and care provider - $ 200.00 (includes GST of $ 18.18): (<35 approved places)

Medium NFP education and care provider - $ 280.00 (includes GST of $ 25.45): (36-60 approved places)

Large NFP education and care provider - $ 365.00 (includes GST of $ 33.18): (>60 approved places)

NFP non-education and care provider - $ 250.00 (includes GST of $ 22.73)

Commercial/private organisation - $ 545.00 (includes GST of $ 49.55)

Total Amount

On Behalf Of Organization

Organisation Name *

Phone (Main) *

Street Address *

City *

State/Province *

Country *

Postal Code *

Email *

Please enter a Username to create an account. If you already have an account please login before completing this form.

Username *

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Password

Confirm Password

Provide a password for the new account in both fields.

Primary Contact

Please enter the primary contact details.

First Name *

Last Name *

Email *

Phone (Work) *

Mobile Phone (Primary)

Position

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *