Incorporated Group Membership Form

Incorporated Landcare Group Membership

Please use this form to apply for membership of Landcare NSW as an Incorporated Landcare group.
Group Name*
Incorporation Number
Date of Incorporation

DayMonthYear
Address*

Street Address

Street Address Line 2

CityState

Postcode
Website (optional)
Principal Contact Name*

First NameLast Name
Principal Contact Phone Number*

Area CodePhone Number
Principal Contact Email Address*
example@example.com
Annual Membership cost

From $525, Landcare NSW membership for incorporated groups includes three standard insurance policies:
- Volunteer Workers Insurance
- Public and Products Liability Insurance
- Association Liability Insurance
Once your application is approved, the principal contact will be emailed an invoice for the group's membership and insurance fees.
Select what best describes your organisation*

Incorporated group that DOES employ staff and or contractors \ sub-contractorsIncorporated group that DOES NOT employ staff and or contractors \ sub-contractors
How did you hear about us?
If you selected "Other", please specify:
Please contact our Membership Officer at memberships@landcarensw.org.au or 02 8339 4816 if you have any questions.
Hidden fields below are necessary to correctly integrate to Salesforce - do not remove!

The Member Type field is a calculated text field which updates with text to identify Incorporated Small or Incorporated Large based on responses to What best describes your organisation.

Member Type (SF) field is a picklist field because this matches the expected data type in Salesforce - this field updates based on value of Member Type.
Member Type
Conditionally updated based on response to What best describes your organisation?
Member Type (SF)

Incorporated LargeIncorporated Small
Should be Empty:

Incorporated Landcare Group Membership