Waterwatch - Port Phillip & Westernport
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Membership Form
Membership Enquiry
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What is your first name ?
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What is your last name ?
Where do you live?
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Street Address :
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Suburb :
Postcode :
State :
What is the name of your local Council?
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How will we contact you?
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Are you currently involved with Waterwatch?
Yes please I'd like to be
No
Affiliated group : (eg. school, friends of group.)
Would you like to join a Waterwatch group?
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No
Why are you interested in Waterwatch?
I would like to be involved in monitoring activities
I would like more information about water quality
I would like to meet other people interested in water quality
I would like to know about Waterwatch activities in my local area
I would like to know how to improve the health of my local waterways
I would like to join a waterwatch group
I would like to know about Waterwatch activities in my local area
I would like to know more about the health of my local waterways
I would like my school to be involved with Waterwatch
I would like my community group to be involved with Waterwatch
I would like my workplace to be involved with Waterwatch
Other (Please specify)
How did you find out about Waterwatch?
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