Become a commercial member

I/we apply for membership of SRS Genetics as a Commercial Member as a:

CompanyIndividualPartnership

Part [A] Membership Information

Part [B] Contact Details

Postal Address

Town/City

Postal address (if different from above)

Postal Address

Town/City

Primary Membership Contact

Secondary Membership Contact

Part [C] Flock information

SRS Genetics offers Commercial Members the opportunity to participate in an SRS Merino Certification
Program, SRS Angora and SRS Alpaca that involves the collection of further information and an on-farm
independent auditing component.

Successful participation in this program allows for the Commercial
Member to purchase unique SRS Identification tags to identify animals that meet SRS Genetic standards.

Do you wish to participate?
YesNo

Commercial Membership Application

Do you currently undertake any third-party auditing for example RWS, ZQ or Nativa? Name below.

Membership Fees

< 1000 breeding females (ewes, does, hembra) $400.00 plus GST         >1000 breeding females (ewes, does, hembra) $600.00 plus GST

Payment is to be made via direct deposit

Account Name: SRS Genetics

BSB: 062 600

Account Number: 108 166 45

Please supply proof of payment with application. Please use your SURNAME as the description of payment
in your banking system.

Part [E] Statutory Declaration

I/We apply for membership to SRS Genetics and agree to abide by the SRS Constitution and Rules (available
on website).

I/We certify that the details recorded on this form are true and correct and that I/we have the appropriate
authority to sign this application.

Signature (must be applicant's signature)