Riddells Creek Landcare - Membership Form
Please complete form below. Membership is $15 per household, per year.

EFT (or PAY AT ANY BENDIGO BANK BRANCH):
Bank Name: Bendigo Bank BSB number: 633 000
Account Name: Riddells Creek Landcare Group Account number: 136551140
Message / Reference: [Your Full Name]

CHEQUE/MONEY ORDER:
Please make cheque payable to "Riddells Creek Landcare Group" and send to:
Treasurer, Riddells Creek Landcare, PO Box 292, Riddells Creek. VIC 3431.

CASH:
Only by prior arrangement or at a Riddells Creek Landcare event.
Are you renewing your membership or joining for the first time? *
Required
Family Name *
Your answer
First Names *
Your answer
Telephone *
Your answer
Email Address *
Your answer
Home Street Address *
Your answer
Home Town *
Your answer
Home Postcode *
Your answer
Postal Street Address
(if different from above)
Your answer
Postal Town
Your answer
Postal Postcode
Your answer
Payment method *
How many years would you like to join for? *
Submit
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