Membership Application

First Name:		Surname:
Partner's Name:		Species/Area of Interest
Address:
Business/Farm Name:
Home Phone:		Business Phone:
Mobile:		Fax:
Email:
I agree to be bound by the rules of the Association. Copy of model rules available upon request.
Signature:		Date:

If you wish to pay online using your credit card, after clicking on 'Submit' above you will be taken to a Thankyou page. On that page you will find a Pay Now button which will take you to our secure server where you can input your credit card details in complete safety.

If you wish to print out this Application Form and send it to us by mail, click on the icon below

Click to download
Application Form

Aquaculture farm