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Join Form Test
Co-op application
Form to sign up and pay for the co-op
1
Your details
2
Payment
First Name
(Required)
You must join the co-op as an individual
Surname
(Required)
Email
(Required)
Mobile
(Required)
Address
(Required)
Please note a physical address is required for some co-operative notifications
Suburb
(Required)
State
(Required)
Select
ACT
NSW
NT
SA
TAS
QLD
VIC
WA
Post Code
(Required)
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Country
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Account Designation
If applicable
Password
(Required)
Your password must be at least eight characters long, and contain at least one number and letter.
Confirm Password
(Required)
Co-operative Rules
(Required)
Review the rules of the co-operative
I have read and accept the rules of Invest In Farming Co-operative Ltd, confirm that I am over the age of 18, and acknowledge there is a $55 annual membership fee.
Membership Period
(Required)
Membership is valid for one year and will not automatically renew, but cannot be cancelled during this period.
Referral Code
Co-op Membership Fee
Annual Co-operative Fee
Payment
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Type
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Join Date
DD slash MM slash YYYY
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Paid
true
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