Membership - Matamata Budget Service

Full Name*

Phone Number*

Date of Birth*

E-Mail*

Address*

Street Address Address Line 2 City ZIP / Postal Code

Preferred Method of Contact*

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Mail
E-Mail
Phone

Would like to (Please select all that are relevant)*

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Become a member of the organisation
Train as Financial Mentor
Volunteer time with educational/special events in this organisation

Consent*

I agree to the terms below

All memberships are approved at the discretion of the Executive Committee. Final acceptance will be notified in writing and membership is renewable annually. I understand I may resign my membership by giving oral or written notice to the Office.

All information is strictly for the MHBAS database so I can be contacted appropriately.

By ticking the following box I agree to become a member of the MHBAS & will adhere to the terms in the MHBAS Code of Conduct that will be supplied to me upon submitting this form.

I am aware that anything I learn or experience whilst I am a member which may be considered private, sensitive, or privileged information must be held in strict confidence. I agree that I will not share protected information, nor divulge identifying information regarding the clients, staff, or operations of MHBAS or related individuals or entities.

I accept responsibility in notifying the service of changes to my contact details.

Membership Form