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Become a Member (Individuals/Households/Businesses)

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Individual - 1 year ($20, includes GST)

Household or Business - 1 year ($40, includes GST)

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Residential Address*

Postal Address (if different to above)

Phone*

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Additional Person 1 Name

Additional Person 1 Email

Additional Person 1 Phone

Additional Person 2 Name

Additional Person 2 Email

Additional Person 2 Phone

Additional Person 3 Name

Additional Person 3 Email

Additional Person 3 Phone

Additional Person 4 Name

Additional Person 4 Email

Additional Person 4 Phone

Additional Person 5 Name

Additional Person 5 Email

Additional Person 5 Phone

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