Signup Form

* Membership Type

2012 Student Subscription 50.00 AUD for one year
Student membership for 2012 year. Carries no voting rights.

2012 Associate Subscription 200.00 AUD for one year
Associate subscription for 2012 year. This carries no voting rights.

2012 Full Subscription < 400 trees 200.00 AUD for one year
Less than 400 trees

2012 Full Subscription 401 - 2000 trees 500.00 AUD for one year
More than 400 trees but less than 2000

2012 Full Subscription - 2001 to 5000 trees 1000.00 AUD for one year
More than 2000 but less than 5000 trees

2012 Full Subscription > 5001 trees 1500.00 AUD for one year
More than 5000 trees planted

* Payment System

Offline Payment
Pay using BSB or by sending cheque
PayPal
secure credit card payment

BSB details

Our Account details
The Australian Truffle Growers Association Inc
BSB: 142001 Account Number 127711400

* First & Last Name

* Choose a Password

must be 6 or more characters

* Confirm Your Password

* Your E-Mail Address

a confirmation email will be sent
to you at this address

Alternate Email

In case we can't reach you on your main address

* Phone Number

Mobile Phone

Address Information

Street

City

ZIP Code

Country

State

Company Name

if trading as a company or partnership

Plantation Location Details

Address information is never disclosed publicly. We will consolidate region data for research.

Number of trees planted

For information only.

Date Trees Planted

Enter multiple years with a comma between

Referring Member

New members have to be nominated for membership by an existing member, then have their aplication approved by the committee.

Previous years of membership

Can be a 'since xxxx'. Not a required field.