Member Registration ANPC Membership / Subscription Form Australian Network for Plant Conservation Inc GPO Box 1777, Canberra ACT 2601, Australia T: +61 (02) 6250 9509 | E: email@example.com | W: https://www.anpc.asn.au ABN 70 861 480 818 Membership Subscription Form ANPC Membership Subscription Form Please select* New Member Current Member Past Member Current and past members please add your member number (if known) Member number Name* Mr.Mrs.MissMs.Dr.Prof.Rev. 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Regardless of when you join/renew, you will receive all four (4) issues of Australasian Plant Conservation for the calendar year (memberships received on or after 1 October are credited to following year). Please select from the following membership categories:Individual Member 1 Year $85 3 Year $210 Individual Concession (full time students, pensioners, unemployed) 1 Year $50 3 Year $120 Community Group (receive 2 copies of quarterly APC bulletin) 1 Year $130 3 Year $320 Small Business - Less than 20 employees (receive 2 copies of quarterly APC bulletin) 1 Year $130 3 Year $320 Library Subscription (receive 2 copies of quarterly APC bulletin) 1 Year $130 3 Year $320 Corporate / Government Agency (APC bulletin sent to up to 7 mail or email addresses) 1 Year $680 3 Year $1650 Auto Renewal (for 1 year memberships only)Please tick if you would like your membership to be auto-renewed each year on 1 November (via credit card only). You will receive a notification email 3 weeks prior to payment which includes the amount to be charged and how to cancel or amend this. *ANPC membership fees are changing so the membership renewal rate will change each year from 2022-2024 to align with this. You will be notified of this in the renewal notification. Automatically renew this membership APC Bulletin print versionPlease tick if you would prefer a PRINT COPY of APC bulletin INSTEAD of an electronic version Print Copy of APC instead of electronic version E- News SignupWould you like to sign up to our monthly e-newsletter? This will keep you updated on the ANPC's projects as well as the latest plant conservation news and events from around Australia. Please choose an option below Yes No DONATION ($2 or more tax-deductible) Please input the amount of your donation in the field aboveTerms and conditions* Yes, I have read, and agree to comply with, the terms and conditions set out at ANPC Terms and Conditions PDF Your OrderIndividual Member 1 Year Price: Individual Member 3 Year Price: Individual Concession 1 Year Price: Individual Concession 3 Years Price: Small Business 1 Year Price: Small Business 3 Years Price: Community Group 1 Year Price: Community Group 3 Years Price: Corporate / Government Agency 1 Year Price: Corporate / Government Agency 3 Years Price: Library Subscription 1 Year Price: Library Subscription 3 Years Price: Total $ 0.00 Payment Method*Select your method of payment Pay By Direct Debit (preferred) Credit Card Pay By Cheque Invoice My Organisation Please make the above total payment into the following bank account OR ABN PayID, and then submit this form by clicking on the Submit button below. BSB: 633-000 | Account #: 139397830 | Bank: Bendigo BankAccount Name: Australian Network for Plant Conservation Inc.Reference: PLEASE QUOTE Your Name and Membership Number (if known) – so we know the payment is from you. PayID ABN: 70861480818 Reference: PLEASE QUOTE Your Name and Membership Number (if known) – so we know the payment is from you.Please enter the amount payable with a decimal pointPlease send your cheque for the above total amount to: Australian Network for Plant Conservation Inc.GPO Box 1777CANBERRA ACT 2601 and submit this form by clicking on the Submit button below.Please click submit and we will arrange for an invoice to be emailed to you – this can sometimes take up to 7 daysCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date CCV Cardholder Name CAPTCHAEmailThis field is for validation purposes and should be left unchanged.