Membership Application Form

Applicant, I   First Name   Last Name  of   Street Address   Address Line 2
City   State   Postcode ,  Email ,
Area Code   Phone Number   ,   Occupation

apply to become a member of Landcare Broken Hill, an incorporated association (Reg. 9892159). Upon becoming a member, I agree to be bound by the current Constitution of Landcare Broken Hill (supplied below).

Plants, Propagation & Plant identification eg propagation nursery, seed collection, irrigationAboriginal Knowledge & Caring for Country eg bush tucker, arid zone ecologyEnvironmental Solutions & Sustainability eg carbon off-set, rehabilitation projects, waste managementCommunity, Recreation & Schools eg community garden, street tree plantings, green schools, youth leadershipEducation, Knowledge, Training eg upskilling of membership, guest speakersLandcare Committee Support eg social media, secretary supportOther

Formal training or experience that you can contribute:Enter text .

Date of application

Date

E-Signature

Your membership application will be reviewed by committee members of the association, Landcare Broken Hill, proposed and seconded at the next monthly meeting.

Membership of Landcare Broken Hill now includes access to our Imperial Lakes Nature Park and opportunities to participate in activities to be hosted in the Park - see Membership Benefits.

Pursuant to the Constitution of Landcare Broken Hill, each membership application must be proposed and seconded by existing members of Landcare. On receipt of an application, the Landcare Committee will ensure a proposer and a seconder endorses each application, thereby satisfying the Constitution.

Landcare Broken Hill also offers the additional membership benefit of participating in the activities of an internal club - the Barrier Field Naturalist Club. If you are interested in bush walking, field trips, natural history study groups, or just relaxing strolls within our wonderful natural outback environment, then the BFNC activities are for you!

Landcare Annual Membership (inc GST) $22.00Seniors and Concession card holders $11.00Juniors (under 18) $11.00Barrier Field Naturalists Club activities (inc GST) $5.50 Total (Inc. GST) $______

Bank Transfer Details

Account: Landcare Broken Hill
BSB: 012551
Account number: 572608599

*Please clearly state your name and membership as reference

Upload receipt if already paid

Alternatively, you can email the receipt to lbhcommunications@gmail.com, take the receipt to the Centre for Community at 200 Beryl St, or mail it to PO Box 536, Broken Hill, NSW 2880