Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Address *Suburb *State *Post Code *Home Phone *Mobile PhoneHousehold Payment Type *Waged ($30)Unwaged ($10)Donation (any amount appreciated)New or Renewing Membership *New MemberRenewing MemberDo you have the time or skills to help us further?Join our committeeJoin our Enews teamHelp event planning and volunteer organisationOur website and facebook needs social butterflies that enjoy social mediaAssist with Information TechnologyOther (Whatever we haven't included in the above list)Are you joining a local group?Albany PermacultureAvon Valley(Toodyay & Surrounds)FremantleGreat Southern WA PermacultureHillsMargaret RiverMiddle Earth Permies - Perth South EastNorth of Perth Permies (NAPES)RoleystoneSubi-to-seaNothing in my AreaI'm interested in helping start up a local group in my areaDo 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 NumberMobile PhoneAddressEmailBy 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. CheckboxesI 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 2005WebsiteSubmit