Application for 2018/2019 Membership - New Members
Incorporated under the Associations Incorporations Act, 2009
Contact Details *
Please supply your Name, Address, and Contact Number
Your answer
Employment Details *
Please supply your Occupation, Organisation or Business, Address and Contact Number
Your answer
Email Contact *
Please supply your main Email contact as well as an alternate email. By providing your email contact you are agreeing to be part of our distribution list and may receive occasional emails.
Your answer
Presenter History *
Date Basic Workshop Completed
MM
/
DD
/
YYYY
Date of Presenter Training (if applicable)
MM
/
DD
/
YYYY
Where you completed a supervised workshop (if applicable)
Your answer
Who was your supervisor?
Your answer
Date of your last sign update attended *
MM
/
DD
/
YYYY
If you run workshops, what areas do you offer them?
Your answer
How many workshops do you run annually?
Your answer
Membership Fee *
Membership Fee for 2018-2019 is $40. Please indicate how you have paid this.
Required
Receipt Number *
Please enter your membership payment receipt number. Enter N/A if you are paying by cheque, money order or are a new committee member.
Your answer
Do you want access to the Member Only section of the KWS NSW website?
As part of your membership you will be able to access Member only areas of our website once you have registered for a google account.
Please provide email address for registered with your google account. This will be used with the KWS NSW website.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.