Is this a new application or a renewal? *

New Landcare membership application

Renewal of existing Landcare membership

Which Landcare Group? *

Steels Creek

Dixons Creek

Chum Creek

Name of first person *

First Name

Last Name

Name of second person (optional)

First Name

Last Name

Phone *

(###)

###

####

I am interested in waterway management

Yes

No

I am interested in weed control

Yes

No

I am interested in pest animal control

Yes

No

I am interested in tree planting

Yes

No

Other - please specify