Membership Application Form Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone Terms & Conditions By checking each box below and submitting this Application Form, I agree to the following terms and conditions: I understand that I am becoming a member of LFA in accordance with its Constitution. As a member, I will not act in any way that is contrary to the Constitution, Objectives or Policies of the LFA or brings the LFA into disrepute. I acknowledge that the Board reserves the right to accept or decline any application for membership. I agree to pay an annual fee commencing from the date that my membership is confirmed (the current annual fee is A$75, which the Board may adjust as necessary in the future). Thank you for submitting! We will contact you as soon as the required 50 individual membership applications have been received and membership is opened.If you have any further questions please feel free to call Noel Corkery at 0406 992 447.