Membership – Upper Snowy Landcare

MEMBER INFORMATION

An Annual Membership covers up to two adults residing at the same address.

First Name - Applicant 1

Last Name - Applicant 1

Email - Applicant 1^*

Mobile Phone - Applicant 1

Home Phone

First Name - Applicant 2

Last Name - Applicant 2

Email - Applicant 2

Mobile Phone - Applicant 2

Mailing Address

Address Line 1

Address Line 2

City

State

Postcode

Property Address (if different)

Address Line 1

Address Line 2

City

State

Postcode

Age Group

Under 30
30-60
Over 60

Property size (ha):

Years on property:

Land Use - % Commercial Agriculture:

Land Use - % Conservation

Land Use - % Lifestyle

MEMBERSHIP TYPE & PAYMENT (Membership follows the calendar year)

Select Membership Type:

Would you like to make an additional tax-deductible donation?

TERMS AND CONDITIONS OF MEMBERSHIP

All new members of the Upper Snowy Landcare Network (USLN) will be subject to approval by the USLN committee and any new application will be presented to the committee at the next quarterly meeting. All new members will be required to adhere to Clause 3 of the USLN Constitution, namely, to abide by the Constitution and work in the best interests of the association. New members are also requested to adhere to the code of conduct principles as set out by Landcare NSW.

Agreement:^*

I agree to the above Terms & Conditions

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