Membership Application Form 

Membership Details

 
 
 

Personal Details

 
 
 
 
18 to 25
25 to 34
35 to 44
45 to 54
55 to 64
65 to 74
75  to 84
85 and over

Address Details

 
 
 
 
 
 

Email addresses

Please enter an email address
 

Telephone numbers

Please enter at least one telephone number
 
 
 
 
 

Employment Details

 
 

Other Details

Greater Sydney/ACT/Newcastle/Wollongong
Large regional city
Town over 10,000 people
Town between 5,000 and 10,000 people
Town between 500 and 5,000 people
Town less than 500 people
On a property 
On a lifestyle block
Producer
Other
Agricultural producer
Service industry
Retail
Hospitality
Trade
Other
Internet access/usage
 

Interests

Agricultural/Environmental
Cookery
Cultural
Education
Handicraft
Health/Medical
International
Transport
Welfare
13