Membership Form (#18)ΔPrima Nota Membership Form Becoming a member of Prima Nota means joining a community that values culture, creativity, and connection. Please fill out this form to let us know how you’d like to be involved and stay connected.Privacy Statement(Please read carefully before signing) Full Privacy Statement available at [Privacy Statement] or upon request. Prima Nota Inc. collects your personal information to verify your identity, determine eligibility, communicate important updates, and meet legal requirements. We store this data securely and do not share it for commercial use. It may be disclosed to regulatory or funding bodies if required. You have the right to access and correct your data at any time.Full NameDate of BirthEmailPhone Number Residential PostcodeEmergency Contact DetailsWhy would you like to become a member of Prima Nota?Do you have any experience, skills, or interests you’d like to share?Are there any preferences, limitations or circumstances we should be aware of? Preferred contact methodEmailPhone callText messages (SMS / Messenger / Telegram etc.)No preferenceApplicant Declaration I confirm that the information provided is accurate and that I have read and understood the Privacy Statement above. Membership Tiers Choose the level of involvement that feels right for you.Every tier helps support our work and keeps the community thriving. Membership Tiers Community Member - FREE Supporter Member - $20/year Champion Member - $50/yearWelcome to the Prima Nota Community!You're almost done. Just click Submit form below to confirm your free membership. We’ll send you a confirmation email shortly.Welcome and thank you for your support!You're almost done. Just click Submit form below to Supporter membership. We’ll send you an email with Bank transfer details shortly.You’re a Champion of Culture 🌟You're almost done. Just click Submit form below to Champion membership. We’ll send you an email with Bank transfer details shortly.Submit Form