DURHAM REGION FIELD NATURALISTS © 2018 UPDATED OCT. 12, 2018

Goldex

MEMBERSHIP

please click for a pdf version of this form

Membership Application Form

Please check the appropriate area to indicate membership type.

For Family membership please indicate the number of family members.

Individual ($25) _____

Family ($35) _____ # of People _____

Life Member ($300) _____

Family Life Member ($450) ___# of people

Kindly complete all sections of this information form in order that we can update our address & telephone records.

Name:

Address:

City/Town:

Postal Code:

Phone:

E-mail Address:

The membership year is September to June. Memberships not renewed by November 30th are considered lapsed. Membership fees may be paid by cash or cheque at the DRFN Genera Meeting, or a cheque may be mailed, payable to:

Durham Region Field Naturalists,

Box 54031, 8 King St. E., Oshawa ON,

L1H 1A9

Do not send cash by mail.

Revenue Canada Charitable: No. 891631574RR0001.

Jan. 2014

DURHAM REGION FIELD NATURALISTS

"conservation through education"