Family – Membership Application Form

For new members, please complete and submit the below membership application form after which you’ll be direct to our membership page to select your membership type and then pay online via our secure web shop.

First name

Last name

Phone number

Address on Bruny Island

Postal Address (if different to above)

Additional Mail Lists

All members receive messages from our general email list.

Please tick below if you would also like to be included on these additional lists

Fish Farms Land and Coast Care

Additional Family Members

For family memberships, there is an option to add additional family member details below (not required).

First name

Last name

Phone number

First name

Last name

Phone number

First name

Last name

Phone number