Registration

Registration Form

Date

Your Name (required)

Residential Address (required)

Postal Address (required)

Your Email (required)

Phone

Preferred method of communication

Membership Category

[recaptcha]

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