APPLICATION FOR MEMBERSHIP
Please print this page, sign at the bottom. Scan the completed form then email it to: redl2000 |
Preferred payment method is by direct deposit to : BSB: 484799 Account number: 04764 5503 Use your name as reference |
OR You can post a cheque to: The Secretary, Aquaculture Association of Queensland. 212 North Isis Rd. Childers 4660 |
YOU CANNOT JOIN AS AN ASSOCIATE MEMBER IF YOU HOLD A DEVELOPMENT APPROVAL FOR AQUACULTURE. YOU MUST JOIN AS A FULL MEMBER. |
Company Name: |
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Name/s of owners |
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Postal Address: |
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Street or road |
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City or town: |
Post code |
Email Address | . |
Web site address | . |
Phone numbers: |
AH | Office | Mobile |
Do you hold an aquaculture license or a Development Approval for aquaculture | Yes
No |
Please enter number |
What is the type of business you are in, (eg grow-out, hatchery, ornamental. )
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List the species or product your business sells or produces. For licensed members this information will be used on this web site to direct potential customers to your business. This is free for licensed members, for associate members please contact the president to discuss a web listing. |
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I understand and shall comply with the terms and conditions of the AAQ and it's codes of conduct and practice. |
Applicant's signature
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Enclosed, (Circle one) $285.00 licensed membership: $65.00 for Associate membership: $165.00 interstate licensed membership: Overseas membership AUD$115 |