Annual Membership Form Step 1 of 3 33% Please read this first: Greater Sydney Landcare Network serves and represents its membership of Landcare and Bushcare volunteers as well as professional Bush Regenerators, Land Managers, Farmers and others throughout the Greater Sydney area. It provides the network with: Promotion - Assistance - Sharing - Support - Information - Opportunities - Networking Membership is vital to the work of the Greater Sydney Landcare Network and provides support for: Our Vision: An innovative community network achieving resilient landscapes for Greater Sydney. Our Mission: The Network will serve and strengthen the community of people working for the natural environment and sustainable agriculture. If you wish, you can save and continue later by using that feature at the bottom of the form. Please select*Membership RenewalNew MembershipType of Membership*A business or Council - $60Groups - $40Individuals - $20Streamwatch Group - FreeSupporter - Free Subscribe * indicates required Email Address * First Name Last Name Type of Membership*A business or Council - $60Groups - $40Individuals - $20Streamwatch Group - FreeSupporter - Free Membership - a business or Councilincludes businesses and large organisations with paid volunteer coordinators – eg Councils Price: $ 60.00 Membership benefits for businesses includes Voting rights Representatives on Committee All communications Member services networking access to joint grant applications etc Membership - a groupincludes landcare, bushcare Coastcare etc, schools, mainly representing volunteers Price: $ 40.00 Membership benefits for groups includes Voting rights Representatives on Committee All communications Member services networking access to joint grant applications etc Membership - an individual Price: $ 20.00 Membership benefits for individuals includes Voting rights Representatives on Committee All communications Member services networking access to joint grant applications etc Membership - Streamwatch Group Price: $ 0.00 Membership - supporter Price: $ 0.00 Membership benefits for supporters Inclusion on mailing list for newsletter Non-targeted communications CARE GROUP DETAILS DETAILSYour Name* First Last Group or Business nameGroup you belong toIf you are an individual member and are part of a Bushcare, Landcare or other group please let us know which group you belong to.Group Name*Website urlIf you have oneLogo and photographsThough this isn't a required field, in the future we expect to build web pages of Network members (with their consent). This could include a photograph, logo and information about your group or business' activities. Drop files here or Facebook pageOther Social MediaAddress* Street Address Address Line 2 Suburb Postcode Contact email address* Phone Number*Can be a mobile numberMobile Phone NumberLocal Government AreaHow did you hear about us?Google SearchSocial MediaWord of MouthOur WebsiteOur NewsletterLandcare NSWLocal Land ServicesOther PRIVACYCan we share your group information? Yes, please share our group information No, please keep all information confidential KEEPING IN TOUCHAdditional group members' email addresses to receive our eNewsletters:1.2.3.4. BUSINESS, GROUP OR INDIVIDUAL INFORMATIONWhat are the main aims of your group or organisation?How many volunteers/employees/members do you have?Age of members?We are working increase engagement of young people in landcare/bushcare. Can you tell us how many of your group are aged under 35?Is your group mostly:BushcareLandcareCoastcareWetlands/River CareStreamwatchOtherIs your group:Growing?Stable?Declining?How many events did your group hold in the past 12 months?How could the Greater Sydney Landcare Network support you?Any other comments or suggestions?Are you OK with us sharing your information with Landcare NSW?*YesNounsureIt may be important for us from time to time to share information of our members to LandcareNSW. This would only occur in a Landcare context, where all Landcare contacts need to be reached, for example to promote a new project of Landcare NSW's. PAYMENTDonation A donation helps us provide support throughout the Greater Sydney regionTotal $ 0.00 How are you paying?Credit CardFunds TransferI require an invoice for my organisationCredit Card American ExpressMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name Invoice requirementsWe will send an invoice to your email address or specify an alternative email address here Bank Transfer Details If you are making a direct deposit to Greater Sydney Landcare Network BSB: 082057 Account No: 730212494 Please include for reference: GSLN and your name PERSONAL INFORMATION PROTECTION STATEMENT Greater Sydney Landcare Network Inc. will collect personal information from you for the purpose of registering and administering your membership. With your approval, group contacts will be shared for the recruitment of new members. Details of your group's work - if approved - may also be used to promote the value of community involvement in landcare activities.