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MTC Membership Application Form

(Mount Tamborine Convention [A Letters Patent Body Corporate]. ABN 36 459 541 472)

Please read the Membership Application Guide and MTC Constitution carefully before filling in this form. All information must be completed before an application can be considered.

Personal Details

Title

First Name

Surname

Date of Birth

Email Address

Phone

Residential Address

Suburb

Post Code

Church I regularly attend

My Minister/Pastor is

Minister/Pastor's Contact

PLEASE RESPOND TO THE FOLLOWING STATEMENTS
(Select your response)

I have read and agree to be bound by the Constitution of the Mount Tamborine Convention.

A
B

I have read and agree to the MTC Statement of Faith as set out in Clause 4 of the Constitution of the Mount Tamborine Convention adopted 22 September 2024. https://www.mtcc.org.au/statement-of-faith/

A
B

I have read and agree to support the Vision, Mission and Core Values of Mount Tamborine Convention. https://www.mtcc.org.au/vision-mission-values/

A
B

I agree that information regarding MTC Strategic Plans and operations will be held confidentially and not disclosed by me to third parties without the prior written consent of MTC.

A
B

I agree that I do not have any information to declare that may affect the MTC's decision to accept this membership application.

A
B

The MTCC Conventions I have attended are

The skills I have/activities I would like to be involved in are

Two MTC members who can recommend me for membership are:

Referee 1 Name

Referee 1 Contact

Referee 2 Name

Referee 2 Contact

NOTE: If you do not know any MTC members personally, you may leave this section blank and our Secretary will contact your Pastor/Minister for a recommendation.

Payment Information

Please make your membership payment ($25) via the MTC website: http://www.mtcc.org.au/membership-renewal/

Alternatively, you can:
Direct Deposit: Mount Tamborine Convention, BSB: 034051, Account No. 641436 (Westpac). Please insert YOUR NAME in the reference.
Hand in: Visit the MTCC Office (Eftpos is available).
Mail: Send a cheque or money order to: MTCC, PO Box 38, North Tamborine QLD 4272.
Note: if you join between July and December, the membership fee is half - $12.50.

How did you hear about us?

Applicant Signature

Name

Signature

Todays Date

What happens next?
We will submit your application to the MTC Board for approval and then add you to our member list. As a member, you can vote at Special Members Meetings and the AGM, and you will receive regular two-monthly Prayer Calendars and all MTC updates via email.
Privacy Statement: Mount Tamborine Convention operates in accordance with the provisions of the Privacy Act 1998. We are committed to handling your personal information in a strictly confidential manner. Any information provided by members on this form will only be used for purposes directly related to your membership of Mount Tamborine Convention. Authorised personnel only may access this information. The Mount Tamborine Convention will not disclose personal information to any third party. You have the right to request access to and/or correct any personal information concerning you held by the Mount Tamborine Convention.