Membership Application Form

If you have not already done so, we suggest that you download and read the Community Information Pack before filling out the online membership application form.

To become a member of GUEV Inc please fill out the below details and make payments by:

Electronic Funds Transfer (EFT)
Deposit funds into the following account using your surname as the reference:

Bank: St George Bank
Name: Greenedge Geraldton Unit Trust
BSB: 336025
Account No: 552823398

Cheque / Money Order
Make payable to “Geraldton Unit Trust” and post:
c/- Greenedge Projects
PO Box 171
Chidlow WA 6556
(Please Make sure your surname is included on the Cheque or Money Order)

Membership Type:

   Investor $88
Friend of GUEV (and possible future intending resident) $88

 

 All membership fees are inclusive of GST
 

Expression of interest:

Will you consider contributing loan funds through a debenture process as a pioneer ?                Yes No

Will you consider contributing loan funds through a debenture process as an investor?               Yes No

If YES please indicate the amount you are likely to contribute:

  • This is merely intended for us to get a feel of what funds might potentially be available for the purpose of developing the ecovillage. This document has no obligation associated with it to contribute funds.

Please state amount: $

 
 

Adult 1:

 (Primary Membership Holder)

First name:

 

     Surname:

 

Email address:

 

    

Age:

 

     Male  Female

Home phone:

Work phone:

Mobile:

Can we make your contact details available to other members:
Email:  Yes No Home phone:  Yes No Work phone:  Yes No Mobile:  Yes No
   
Adult 2:  

First name:

  

    Surname:

Email address:

   

Age:

    Male  Female

Home phone:

 Work phone:

Mobile:

Can we make your contact details available to other members:
Email: Yes No Home phone: Yes No Work phone: Yes No Mobile: Yes No
   
Children: Number of Children in age range:
                  0 - 6 years
 		7 - 11 years
12 - 16 years
 		16 + years
 
Postal Address:

 
 
Communications

Our preferred method of communication is by email; however we understand that this may not be suitable for everyone. If email is unsuitable for you then we will either call or mail information to you (depending on the urgency and detail of the information).
Is email a suitable communication method for you ?  Yes No
 
Photos

As a community service, photographs of events will be published by us from time to time. These photos may identify individuals.
Do you give your permission for yourself and your children to be photographed and for these photographs to be placed on our website or used in other promotional material ?     
 YesNo
  • If you answer No then we will ensure that these wishes are respected. However if such a photograph has already been posted, or is posted by mistake, please contact us and we will remove it where possible at the earliest possible opportunity.
 
How did you hear about us?

 

Reason for Joining?

 

Any other Comments?

 

 

      


 

© 2007 Greenedge Projects Pty Ltd. All rights reserved.