Join Now Please fill out the form below to submit your application to become a SACWA member. Name* Mrs.Ms.MissDr.Prof. Title First Last Preferred Name*Email* PhoneMobileFaxAddress* Street Address Address Line 2 Suburb State Postcode Membership Type*Branch MembershipIndividual MembershipBranch*Individual Member - Full Year Price: $ 122.00 Individual Member - 3/4 Year Price: $ 89.50 Individual Member - 1/2 Year Price: $ 61.00 Individual Member - 1/4 Year Price: $ 30.50 Branch Member - Full Year Price: $ 55.00 Branch Member - 3/4 Year Price: $ 41.25 Branch Member - 1/2 Year Price: $ 27.50 Branch Member - 1/4 Year Price: $ 13.75 Payment Method*Credit CardDirect DebitBank: National Australia Bank (NAB) BSB: 085 375 Account number: 551877079 Account name: The South Australian Country Women's Association Business ManagementCredit Card* MasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Terms and conditions*I wish to become a member of The South Australian Country Women’s Association Inc and agree to be bound by and abide by the Constitution, Policies and Procedures of the Association. I understand that the Association has Volunteer Insurance, but I acknowledge that, should I suffer an accident, I may not be entitled to a benefit under the policy in certain circumstances – eg pre-existing disability, medical condition or aged constraints (under 13 years or over 85 years). I Agree. Total $ 0.00 CAPTCHANameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.