Become a Member

If you are interested in joining Bellinger Landcare as a member please fill out our online form here

Are you applying as...*
- A group
- An individual
Your Group
Group Name*
About You
Your Name*
First Last
hereby applies to become a member of Bellinger Landcare Inc. We agree to be bound by the rules of the organisation.
hereby applies to become a member of Bellinger Landcare Inc. I agree to be bound by the rules of the organisation.
Group Contact Details
Your Contact Details
Address
Street Address Address Line 2 Town/City Postcode
Phone
Mobile
Email*
- You can choose to participate in the inspiring on ground activities with one of our local Landcare groups. The level at which you participate is entirely up to you and you may just want to stay in touch with them. Please tick here if you DO NOT want us to pass your details on to your nearest group
Group Representatives
The following people (up to three) are nominated to represent the group:
Representative One*
First Last
Representative Two
First Last
Representative Three
First Last
Office Bearers' Signatures
Signature of Office Bearer One*
Position of Office Bearer One*
Signature of Office Bearer Two*
Position of Office Bearer Two*
Your Signature
Signature*
Phone
This field is for validation purposes and should be left unchanged.

If you’d prefer you can also download a printable Membership Form (.docx format) and email it to office@bellingerlandcare.org.au or drop it into our office in the Bellingen Shire Sustainability Centre.

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Your Group

About You

Group Contact Details

Your Contact Details

Group Representatives

Office Bearers' Signatures

Your Signature

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