Please complete this application form and it will be submitted to our Executive Officer, who will then send you a tax invoice for the required payment.

As a member ACTFA requests that you fill in the ‘Member Profile’. The information collected will be included in a database and will become the basis of ACTFA’s information sharing network.

The information will remain confidential. ACTFA will contact you with details on filling in a ‘Member Profile’.

Farm subscriptions to ACTFA are on a ‘farm business’ basis. Family farms and formal farm partnerships need only one membership.

Membership class: (GST inclusive)
Ordinary      ($110)
Student         ($55)
Foundation (10 year membership $550 - Strictly limited to the first 50 applicants)

Industry:
First Name:
Last Name:
Address:
Contact phone number:
Email:
Business name:
ABN:
Position/role:
Students Institution:
Course:
Student No: