North East & Surrounds Equine Landcare Inc. Membership form

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Membership from 1st July to 30th June annually

Annual membership - $25 per household

Direct Deposit to: North East & Surrounds Equine Landcare Inc.
BSB: 633 000 Acc No: 161 110 234 (use your SURNAME name as reference)
Cheque made out to: North East & Surrounds Equine Landcare Inc.

North East & Surrounds Equine Landcare
541 Greta Road, Glenrowan West, Victoria, 3675
E: nesel.group@gmail.com

First Name *

Last Name *

Other family members

Number and Street *

TOWN *

Postcode *

Your email address *

Home phone

Mobile number *

Do you have any skills or ideas that can support our committee? (monthly meetings 2nd Monday month) *

I would like to be involved and contribute to the NESEL committee.

I can help out at events and when needed but I cannot comit to being on the committee

I can assist with small rolls like facebook administration and event promotion.

I am unable to assist or support our NESEL committee presently

Property size *

Number of horses *

Are you a member of any local riding clubs *

Yes

If YES please specify

Are you a member of a Landcare group *

Yes

If YES please specify

Interests *

Weed control and Identification

Farm Planning

Fencing skills

Horse health

Horse nutrition

Re-vegetation and vegetation management

Soil health

Pasture management

Required

Payment method *

Direct deposit (use your SURNAME as reference)

Cheque

Signature *

I agree to become a member of North East & Surrounds Equine Landcare Inc. by supporting our groups purpose and abiding by the rules of our group.

Required

Submit

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