Full name:*

Telephone:*

Email address:*

Residential address:*

Postal address:*

Employer:*

MEMBERSHIP ELIGIBILITY

Please choose:*
I hold a current NT Practising Certificate; orI am entitled to practice in the NT under the Law Officers Act, Director of Public Prosections Act or the Judiciary Act (Cth); orI provide a copy of my Practising Certificate issued in another Australian jurisdiction:

Attach file:

NT Young Lawyers:*
I elect to become a member of the NT Young Lawyers, orNot applicable

^If you elect to become an NTYL member, you must provide both your date of birth and admission date in order for your application to be processed:

Date of birth:

Date of admission:

NTYL Committee acknowledgement:*
I acknowledge that membership of NT Young Lawyers is subject to approval by the NT Young Lawyers Committee, orNot applicable

INVOICE REQUEST

1. Allow up to three (3) business days for your invoice request to be processed.

2. Once processed, an invoice together with payment instructions will be delivered to the email address that you specify below.

3. The invoice and payment instructions will be sent via Xero – the Society’s accounting system.

4. Ensure that junk emails are checked in the event that your system’s firewall blocks this email.

5. Payment is only accepted online.

6. Once payment is made, please email the remittance advice to remittance@lawsocietynt.asn.au

7. If a remittance advice is not received, your application cannot be finalised.

Please confirm:*
I have read and understood instructions 1-6 above

Amount to invoice:*
—Please choose an option—July $336August $308September $280October $252November $224December $196January $168February $140March $112April $84May $56June $28

Payee name / firm:*

Email address for invoice *