Hepburn Renewable Energy Association

Hepburn Renewable Energy Association Inc.

PO Box 98
Daylesford Vic 3460
Tel: 03 54764495

Email: info@hrea.org.au

join us

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* First name * Last name

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Mobile number: Fax number:

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Date:

(Please Note: Communications will be sent by email)

Membership fee - please choose from the following

$15 Individual

$25 Household

$50 Business

Donations to change the way we live

	$5	Compact flouresecent light bulb
	$15	Low flow shower head
	$30	Draught exclusion kit

$300

Insulation package

$2000

Community solar PV

Total payment: $

Please deliver or post your Subscription Fee and any donation to :

Hepburn Renewable Energy Association Inc
20 Bridport St
Daylesford VIC 3460

or pay by direct transfer to:

Account Name: Hepburn Renewable Energy Association Inc
Bank: Bendigo Bank
BSB: 633108
Account No: 126473453
Comment: Your name

By submitting this Application, you apply to become a member of the Hepburn Renewable Energy Association ("the Association") and, in the event of your admission as a member, you agree to be bound by the Rules of the Association for the time being in force.

If I am admitted to membership of the Association I agree to be bound by the Rules of the Association for the time being in force.