NSWF Contact Form - Bunnings Registration

Registration Form
Contact Name *

First Name Last Name
Email *
Phone No. *
Are you a NSW Farmers' member? *

Yes No
Postcode *
Registration Type *

Existing Bunnings PowerPass member Not an existing Bunnings PowerPass member

Existing Bunnings PowerPass member

If you are an existing Bunnings PowerPass member and you wish to take advantage of the NSW FARMERS' ASSOCIATION customised pricing; please provide the following information:
PowerPass Card Number
PowerPass Account Number
PowerPass Account Name
NSW Farmers Member Number

Not an existing Bunnings PowerPass member

If you are not an existing Bunnings PowerPass member and you wish to take advantage of the NSW FARMERS' ASSOCIATION customised pricing; please provide the following information:
Business Name
ABN
Address

Address L1

Address L2

Suburb/Town State

Post Code
NSW Farmers Member Number

By ticking I agree and providing your details, you acknowledge that NSW FARMERS ASSOCIATION will be forwarding your details onto Bunnings and that you consent to Bunnings contacting you directly by phone and/or email to discuss this opportunity and the growing range of Benefits on offer. *

I agree
PRIVACY ACT
The information you provide to NSW FARMERS' ASSOCIATION is used to administer your membership and in the provision of membership benefits. The information provided may be used to contact and advise you of other member services or products. You may elect to cease receiving such information at any time by contacting NSW FARMERS' ASSOCIATION through the methods provided. Your personal information will not be disclosed without your consent for any other purpose unless required or authorised by law. You may request access to your personal information and, if necessary Bunnings update your records by contacting the Membership Co-Ordinator at NSW FARMERS' ASSOCIATION

Bunnings Privacy Statement: Bunnings collects your personal information in accordance with its Privacy Policy which can be found at www.bunnings.com.au/privacy-statement. If you have any questions, please email Bunnings at privacy@bunnings.com.au.
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Registration Form