Register Membership Application Complete the membership details first, then create the account login. 1 Membership details 2 Account details 01 Your DetailsTell us who is completing this application. Are you the proposed member, or are you applying for membership for someone else? * I am the proposed memberI am applying for my own membership. I am applying on behalf of someone elseI am completing this form for the proposed member. Applicant’s Own Details Enter the details of the person completing this application. First name * Last name * Email address * Contact number * Relationship to proposed member * 02 Membership ClassSelect the relevant class and complete the fields shown. What class of membership is the application for? * Prisoner Member of prisoner’s family Friend of prisoner Ex-prisoner Other Prisoner Details Prisoner first name * Prisoner last name * Prisoner identification number * Location of prison * The proposed member is the prisoner’s * Parent Sibling (brother or sister) Cousin Other Please specify the relationship * Ex-prisoner details * Please describe the membership class or connection * 03 Communication PreferencesChoose every contact method that can be used. What is the best way to contact the proposed member? (Choose all that apply) * Email SMS message Mail Email * SMS message * Mail * Date * Next → 04 Set Username and PasswordCreate the login details for the proposed member. Username *Use at least four letters or numbers, without spaces. Password *ShowUse at least eight characters. Confirm Password *Show ← Back Submit Membership Application ✓ Application received Thank you. Your membership application has been submitted successfully. Loading...