Membership Application

2023/24
I, (name of one person only) hereby apply for
membership in the Ricegrowers’ Association of Australia and, if my application is
accepted, I agree to abide by the Constitution and rules of the Association.

My details are as follows:

Farm number(s)
and/or property name:
Full trading name in
which is delivered:
Postal address:
Email address:
Telephone number: Mobile number:

BRANCH MEMBERSHIP (Tick One)

☐ Berriquin ☐ Coleambally ☐ Deniliquin ☐ Hay ☐ Mirrool
☐ Queensland ☐ Victoria ☐ Wakool ☐ Yanco

MEMBERSHIP TYPE (GST inclusive)

☐ Full Producer Member - $590.00 Voting Rights, Full membership benefits.
☐ Additional Member - $132.00 per additional member for this trading name. Identical to Full Membership.

Add. member name: Mobile: Email:

Add. member name: Mobile: Email:

☐ Industry Supporter - $132.00 Non-Rice Growers with an interest in the Association. Non-voting but all
other benefits of Full Membership.

PAYMENT DETAILS
☐ Deduction from Rice Proceeds. I hereby authorise Ricegrowers Limited (SunRice) to deduct my
annual RGA membership subscription/s from rice crop proceeds that become due to the above
trading name and forward payment to the Ricegrowers’ Association of Australia Inc.
This authority allows more than one annual membership subscription for the above member to be
deducted from the proceeds of a single crop delivered in the above trading name. This authority
replaces any previous authority and is to remain in force until I cancel it.
(Not applicable for Industry Supporter Members).

Signature of authorised person for the above trading name

☐ EFT - Transfer to BSB: 062 564 Account No: 0090 0556 include your name as a reference.
☐ Credit Card - To pay by credit card contact the RGA office by phoning 02 6953 0433.
☐ Cheque - pay annual subscription by cheque posted to PO Box 706 Leeton NSW 2705.

Signature of applicant Date

FOR OFFICE USE ONLY

Grower Number Membership Number Central Executive Update Member Notified