Registration

Registration Form

Date

Your Name (required)

Residential Address (required)

Postal Address (required)

Your Email (required)

Phone

Preferred method of communication

Membership Category

Or if you would like to download the hard copy of application form and send to our Administration team for registration. Click the form below.

DOWNLOAD APPLICATION FORM

Note: All registrations to be paid at time of submitting registration via Direct Deposit or via Cheque Payment. A registration is not valid until payment received. Please refer the following payment details. Thank you very much.

Direct Deposit
Account Name: Central Queensland Soil Health Systems
BSB: 014-676
Account Number: 2979-07438
Reference: Your Name
Please email the confirmation of payment to info@cqshs.farm
Cheque
Payable to: Central Queensland Soil Health Systems
Post to address:
Central Queensland Soil Health Systems
P O Box 119,
WALKERSTON,
QLD 4751