Whorouly Landcare Group Inc.                membership renewal

Please use this form for new subscriptions,  for membership renewals or to update your details.
Sign in to Google to save your progress. Learn more
Annual membership runs from 1 January - 31 December
If you have any queries about membership or completing this form please contact our group treasurer Anthony Ivone treas.whoroulylandcare@gmail.com
First Name *
Family Name *
Other family members
Address *
Postal address if different to your property address.
e-mail address *
Contact phone number *
Are you? *
Becoming a member.
Signature
Clear selection
Membership payment details
Cost per household is $20.                                                                                                                          

Payment can be made by bank transfer to Whorouly Landcare Group Inc.
 Bendigo Bank BSB;633 108
 Account Number; 1036 83264
Cheques payable to Whorouly Landcare Group Inc.
Post to; Treasurer, Whorouly Landcare, 78 Monument Lane, Whorouly 3735
Have you paid your subscription *
This information will assist our committee in the planning and the development of future projects for our group.
What best describes you/ your landholdings *
What are your interests in Landcare *
Required
Do you have any suggests, ideas for the group?
Are you interested in undertaking Landcare works on your property?
Clear selection
I would like to.....?....on my property.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms