Permaculture West Membership Form

Name *

First

Last

Email *

Address *

Suburb *

State *

Post Code *

Home Phone *

Mobile Phone

Household Payment Type *

Waged ($30)
Unwaged ($10)
Donation (any amount appreciated)

New or Renewing Membership *

New Member
Renewing Member

Do you have the time or skills to help us further?

Join our committee
Join our Enews team
Help event planning and volunteer organisation
Our website and facebook needs social butterflies that enjoy social media
Assist with Information Technology

Other (Whatever we haven't included in the above list)

Are you joining a local group?

Do you have a Permaculture-related business? (you could be listed on our website)

How did you hear about Permaculture West *

I have read the Constitution (commonly known as “the Rules”) and understand that I am complying with the Associations Incorporation Act of 2015 (Division 5 - Register of Members) by supplying one of the following contact details (others will be kept confidential). NOTE: If you missed either of these documents they are linked on our Membership page. *

Home Phone Number
Mobile Phone
Address
Email

By ticking this box, I understand this contact will be on the members list and may be made available to other members. The other contact details will be kept confidential.

Checkboxes

I acknowledge that the committee will review and decide on this application for membership and I agree to: A] respect the Constitution and B] support the goals and objectives of PAWA, and understand that in doing so I must comply by the Associations Incorporation Act of 2005

Permaculture West Membership Form

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