Group Membership Form 2014

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MOLONGLO CATCHMENT GROUP Inc.
ABN 78 210 867 987
Molonglo Catchment Group Membership 2014
(Our privacy policy is available at www.molonglocatchment.com.au/PrivacyPolicy.htm)
Name: ................................................................................................................................
Representing
Group / Organisation: .....................................................................................................
................................................................................................................................
Address: ...............................................................................................................................
................................................................................................................................
How many members does your group have? .................................................
Preferred contact method(s) (tick those that we may use):
 Email: .............................................................................................................................
 please include me in the fortnightly e-bulletin distribution (opt out at any time)
 Phone: ............................................................................................................................
 Fax: ................................................................................................................................
 Post: ................................................................................................................................
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Group Membership for the 2014 calendar year
$25
Donation to the Molonglo Environmental Heritage Fund
(donations over $2 are tax-deductible)
$___
Attached is a cheque/cash for
$___ incl GST
Signed:
incl GST
................................................................................................................................
Pay by EFT to Westpac Banking Corporation, BSB 032-747 a/c 148851.
(Please use your organisation’s name for a reference)
Or forward your payment to
The Treasurer,
Molonglo Catchment Group
PO Box 1573
FYSHWICK ACT 2609
Please assist the Molonglo Catchment Group by completing the questionnaire overleaf to
indicate your areas of interest so that we can concentrate on your priorities. Return it with
your payment.
Molonglo Catchment Group
PO Box 1573, FYSHWICK, ACT 2609
P: (02) 6299 2119
E:coordinator@molonglocatchment.com.au
Web: www.molonglocatchment.com.au
Please assist the Group by taking some time to indicate your areas of interest by completing this questionnaire so
that we can concentrate on your priorities.
How should this information be delivered?
Topic
Field Days
Talks /
information nights
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Printed
Information
(brochures,
websites)
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Sustainable agriculture
Soil benchmarking
Farm forestry
Property planning
Native vegetation enhancement/conservation
Wildflower walks
Seed collecting
Propagating plants
Managing creek- and stream-banks
Grasslands
Woodlands
Wetlands
Waterbug surveys
Water quality monitoring
Biodiversity / vegetation monitoring
Bird identification
Frogs
Mammals
Reptiles
Insects
Weeds – identification and control
Pest animals
Managing horses on small properties
Urban waterways
Please feel free to add any we have forgotten
Please number from 1 (best) to 5
(worst), the best times to conduct:
am
Field days
pm
all day
am
Talks, Information
pm
sessions, training
evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Please tick (no obligation) if you or your group/organisation can assist the Molonglo Catchment Group by:
Manning information displays
Helping to organise field days
Managing the website
Preparing brochures / maps
Preparing media releases
Talking on Radio Landcare
Doing interviews for Radio Landcare
Water quality monitoring
Biodiversity / vegetation monitoring on your own property
or on public land
Seeking sponsorships
Helping to train others in any of the above
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Sunday
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