Redland Organic Growers Inc.

ROGI Membership Application

Membership Details

Choose Category

Total

Adult 1

Name:

Email:

Mobile:

Adult 2

Name:

Email:

Mobile:

Children

No. of Children:

Child 1 Name:

Child 1 Age:

Child 2 Name:

Child 2 Age:

Child 3 Name:

Child 3 Age:

Child 4 Name:

Child 4 Age:

Address Details

Address:

Suburb:

State:

Postcode:

Home Phone:

Virtual Signature:

Date:

Disclaimer

At ROGI functions or activities we take photographs / videos and these photographs are shared in articles and through the ROGI newsletter or on the website as part of our administration and member entitlements. Photographs and videos are only collected and used for the purpose of education, training and administrative purposes related to ROGI and the promotion of Organic Gardening practices. We will only take and use photographs and / or videos of you with your consent.
It is the responsibility of members to inform the photographer if you do NOT wish to be photographed.

Payment

Direct Deposit (Preferred method of Payment)
Please deposit to:

BSB 633-000
A/C No. 136 137 296

Bendigo Community Bank Victoria Point
127 Colburn Ave
Victoria Point QLD 4165

Bendigo Community Bank Wynnum-Manly
A2/63 Bay Terrace
Wynnum QLD 4178

Very Important! Reference: Please include deposit ID: YOUR NAME MEMB

Cash or Card at Meeting
Pay for your membership at the next meeting attended

Gift/Voucher Code
If you have been provided with a Gift/Voucher Code, please enter it below

Gift/Voucher Code: