Cooloola Coast Care Membership Application
Being a member of Coastcare allows you to take a more active role in the official operations of the organization. You will be a voting member and invited to attend all general meetings where decisions are made about what we will be doing at any given time. Membership is $10/family/year.

To sign up as a member, finish filling out this form and then direct debit your $10 dollars to our bank account.
Cooloola Coastcare Association Bank Details - BSB - 084952 Account number: 535161302
*****Be sure to add your name to the description field of the transaction so we know you have paid the membership fee.

Once we receive your membership fee we will add you to our membership list and email you a receipt.

First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
City *
Your answer
Post Code *
Your answer
Telephone Number (mobile or land line) *
Your answer
Other adults in household that should be added as members.
Please add first and last name of any other adults that should be included with this membership.
Your answer
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