Grower Membership Application - Hawke's Bay Fruitgrowers' Association

Grower Membership
Grower Membership is available to individuals or entities who are actively engaged in commercial fruit growing in Hawkes Bay and have 5 or less full-time employees,
* Membership is subject to: The application being correctly completed and applicants providing consent and the HBFA Executive committee approving the application.
Please confirm membership history*
If renewing, please confirm existing membership name
Details
Company or Business/Entity Name*
Surname:*
First name/s:*
Email address:*
Mobile:*
Company/Business address:
Postal address (if different from above):
Telephone:
Current Role:
Orchard Registration No/KPIN
Orchard location/s
Experience
- Please confirm that you are actively engaged in commerical fruit growing in Hawkes Bay.
Type of Fruit Grown
Type of business
- Pipfruit
- Summerfruit
- Kiwifruit
- Post-Harvest
- Other
Other
(Please briefly describe)
Employee Details
- I would like my employees to receive communications from HBFA
- Please confirm you have 5 or fewer full time employees.
Please supply individual details of employees to receive communications from HBFA
First Name Surname Email Address
Name Of Person Authorised To Provide Consent For Membership*
Consent
I agree to the privacy policy.
I am applying for membership with Hawkes Bay Fruitgrowers’ Association Incorporated (HBFA) and I agree to accept the decision of the HBFA Executive as to whether I qualify for membership. If my application is accepted, I agreed to abide by the rules set out in the HBFA constitution. I confirm that the information provided in this application form is true and correct. The information you supply to HBFA on this form is being collected to enable HBFA to pursue its objectives as set out in the constitution of HBFA. I acknowledge that I have the right under the Privacy Act 1993 to access and correct any of my information held by HBFA. I certify I am authorised to and give consent for the named persons or entity to become a member of the Hawkes Bay Fruitgrowers’ Association and I agree with all conditions and terms

First Name	Surname	Email Address

Grower Membership

Details

Type of Fruit Grown

Employee Details

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