Classes of Membership and Fees

MEMBERSHIP APPLICATION FORM

To join GEN Oceania/Asia Inc, please write to the GENOA office enclosing this form. If you are joining as an ecovillage, please contact GENOA for an eco-village self audit form.

Name: ……………………………………………………………………………………….…………………………

Address: ………………………………………………………………………………….……………………………

City:……………….………………… Post code: ………………

Country: ……………….…………………

Tel: ……………….…………………Fax:……………….…………………

Email: ……………….………………………………….…………………

I wish to apply for membership of GENOA Inc as an Ordinary Member/Associate

Member/Ecovillage Member/Institutional Member (please indicate which)

I am willing to have my details included in GEN’s mailing database: YES/NO (please indicate which)

I enclose my membership fee of: ………………………………….
(See Membership Classes & Fees)

I enclose my donation towards GEN’s work:
$10... $20... $50... other (please indicate)………………

Return to:
Global Ecovillage Network (Oceania/Asia) Inc
59 Crystal Waters,
65 Kilcoy Lane
Conondale Qld 4552
Australia