Please complete this form to become a member or supporter.
Your details will be kept confidential as required under the Privacy Act.
This information will help us when we are applying for funding for projects, we won't share your personal details with funding providers, but the overall statistics help us put together a good argument for funding. Your cooperation is appreciated!
Please choose type of membership, Individual Member, Family, or Supporter.
First Name if individual membership, if your'e joining as a family please type 'family' in here.
Family / Surname
For both individual or family membership
Number of Family members
If you're joining up your family, help us by stating numbers of family members (there's no limit to how many you can have)
Mailing address 1: Number and Road.
Mailing address 2: Suburb
Mailing address 3: Post Code
Mailing Address 4: City
Contact Phone Number
Please help us by sharing your interests
Ecology Restoration & Management
Marine Mamal Preservation (Dophins, Whales and Seals)
Plants, Plant Cultivation and Botany
Bird Preservation (Gannets, Penguins, other Native species)
Kids Conservation Club
All of the above
Can you help with any of the following?
If you check these boxes we will contact you about further involvement.
Assisting with Project Management
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