BFF AU GARDEN Application

BFF GARDEN Application
Category

About You
Your Name*

First NameLast Name
Organization or Garden Name*
Email*
example@example.com
Phone Number*

Area CodePhone Number
What Type of Garden is your application for?*

Home GardenCommunity GardenPublic GardenOther
Do you keep bees? (not a requirement)*

YesNo

Honey Bees, Native Bees
Total Honey Bee Hives
Is hectares or square meters a more relevant measurement for your property?*
Total Property Hectares*
Total Property Square Meters*
Physical Address*
Tips For Entering Your Address
- Begin typing your address in the Address field. This should start giving address options in a dropdown.
- Select your address once it is an available choice. This will automatically populate the Latitude, Longitude, Province, and Country fields.
- These fields will only populate once an address is selected from the dropdown. Typing out the full address will not fill in these fields.
- If there is no address dropdown or locator map, please try using a different browser and selecting the option to allow access to your location when prompted by the form.
The BFF Team will only use your address for locating your site on the map, your information will not be shared.
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Confirmation and Payment
I confirm that the information given on this form is, to the best of my knowledge and belief, true and accurate. I understand that if I have given misleading information on this form, this will be sufficient grounds for terminating my certification. I consent to the automatically recurring, yearly payment of $39AUD to renew my certification, and acknowledge cancelling this payment will constitute ground for terminating my certification. As a home gardener, I will not use the BFF logo.*

I have read and agreed to the above declaration.
I consent to sharing my contact information with Pollinator Partnership and Wheen Bee Foundation via this form submission and understand that neither my contact information or my data will be shared.*

I have read and agreed to the above declaration.

BFF GARDEN Yearly FeeThis membership payment will also be automatically charged every year from the date that this form is submitted. Your first year will include a BFF Garden sign that will be shipped to your mailing address upon acceptance into the program.

$79.00AUD for the first year then,$39.00AUD for each year

Enter coupon

I consent to sharing my contact information with the Partner organization whose PROMOTION CODE I will provide.

I have read and agreed to the above declaration.
PROMOTION CODE
Invalid Partner PROMOTION CODE. Please enter a valid code or leave the field blank and unchecked to complete this form.
Should be Empty:

	Do you keep these bees?	How many hives do you keep?
Honey Bee Hives
Native, Stingless Bee Hives

BFF GARDEN Application