Membership Beechworth Urban Landcare & Sustainability

Thank-you for your support of the Beechworth Urban Landcare & Sustainability Group!
The annual membership year runs from July 1st to June 30th the following year.

Email address *
Are you renewing your membership *
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First Name *
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Surname *
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Residential Address and postal address if different. Requirement of Landcare Victoria. *
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Telephone Number *
Your answer
Is there a Second Family Member Joining? If so please supply FULL name, best contact number & email address so they too can receive our newsletter *
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Other Interests
If Other Can you Please give us a Brief Description
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Thank you for your support and for taking the time to fill in the form

Thank-you for your support of the Beechworth Urban Landcare & Sustainability Group!
The annual membership year runs from July 1st to June 30th the following year.

Please transfer your membership payment to:

BSB: 633000

Account: 154315352

Name: Beechworth Urban Landcare & Sustainability Group

Reference: [your surname]

*** It is IMPORTANT you include your surname so we can identify your payment. ***

You will be sent a receipt when your payment is received.

THANK-YOU!

Address:- PO Box 231 Beechworth, Vic, 3747
A copy of your responses will be emailed to the address you provided.
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