Gift Membership

Company

This field is for validation purposes and should be left unchanged.

Order Details

I would like to purchase a gift membership for(Required)

Please note: this form is only for purchasing a gift membership to the National Trust in ACT and NSW. If you would like to join another state please visit www.nationaltrust.org.au/join

To purchase a Gift Membership for Victoria, please visit www.nationaltrust.org.au/membership-vic/gift-a-membership-vic

Duration

Select a membership category(Required)

Membership Total

Who should we send the membership pack to?

To me (the gift giver)

To the Gift Recipient

Privacy

When you become a member, renew your membership or make a donation to the National Trust of Australia your personal information is only collected to communicate with you and send you information such as the National Trust magazine, information about National Trust events, exhibitions, e-newsletters, Branch news and special offers.

For further information on Privacy, including storage of Personal Information or to request your Personal Information, please see Privacy – National Trust

Gift giver details

These details are for the gift-giver. The gift recipient (member) details can be entered during the next step.

Name(Required)

First Last

Email(Required)

A payment confirmation will be sent to this email address.

Phone(Required)

We'll call you on this number if there are any issues processing this gift membership.

Address(Required)

Street Address City State Post Code Country

We'll send the gift membership pack to this address.

Member Details

These details are the gift recipient's details (the new Member/s).

Name(Required)

Title First Name Last Name

Email Address(Required)

Daytime Phone(Required)

Mobile Phone

Date of Birth (optional)

Additional Information

Adult 2 Name(Required)

Title (Adult 2) First Name (Adult 2) Last Name (Adult 2)

Date of Birth (optional)

Postal Address

Address(Required)

Street Address City State Post Code Country

Your Order Details

Your membership application is almost complete. Please review your order and enter your payment details below.

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Billing Address

Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card Details

Credit Card(Required)

American Express

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name