Taro Growers Australia Inc
PO Box 83, CARDWELL QLD 4849
New Membership Application
Date: ____/____/____
Name: _________________________________________________
Company Name:___________________________________________
Farm Address: ____________________________________________
_____________________________________ Post Code: __________
Postal Address: ____________________________________________
_____________________________________ Post Code: __________
Phone: ____________ Fax: _____________ Mobile______________
Email: ___________________________________________________
Nominating Member: Admin of TGA Website
Status: Grower o Agent o Interested Member o Other _________
Initial Application Fee: $50.00
Annual Subscription Fee: $20.00
Total Payment: $70.00
(Please note: This is GST Free)
I agree to my Name and Contact Details being added to
the members listing and forwarded to all members: Yes
o No oSigned: ____________________________________________ Date: _____/____/____