First Name* Last Name* Email Address* Verify Email* Address* Suburb/Town* State* State Western Australia South Australia Northern Territory Queensland New South Wales Victoria Tasmania Other Post Code* Primary Phone Enter your primary contact phone number. Alternate Phone Enter any alternate contact phone number. Assistance Assistance Join our committee Join our e-news team Help event planning and volunteer organisation Our website and facebook needs social butterflies that enjoy social media Assist with Information Technology Select any of the activities you may be able to assist PermacultureWest with. Other Assistance Please add any other assistance you may have to offer PermacultureWest. Local Groups Local Groups Avon Valley (Toodyay & surrounds) Fremantle Great Southern WA Permaculture Hills Kwinana Margaret River Middle Earth Permies - Perth South East North of Perth Permies (NAPEs) Roleystone Subi-to-sea Nothing in my area Help start a local group Indicate if you are a member of one of these local groups, or would like to help start a local group. Permaculture Business If you have a Permaculture-related business, please provide some brief details. Source How did you hear about PermacultureWest? Member Contact* Member Contact Email Primary phone Alternate phone Address Please select the contact method you wish to make available to other members. All other contact details will be kept confidential. Confirm Contact* Confirmed 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 the Member Contact above. By ticking this box, I understand the selected Member Contact will be on the membership list that may be made available to other members. Acknowledgement* Confirmed 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 with the Associations Incorporation Act of 2015. Captcha* Payment Method Payment Type PayPal Bank Transfer Bank Transfer Pay your membership fee ($30 Standard/Waged or $10 Concession/Unwaged) by online transfer to PermacultureWest's bank account. Payment details will be provided once this form is submitted. Pay with PayPal Select payment option Standard/Waged $30.00 AUD Concession/Unwaged $10.00 AUD
