How to become a member

Simply rightclick the form and choose print.
Fill in your details and post with fee to:

The Treasurer
Friends of the Wildlife Reserves
C/o La Trobe University
Bundoora Vic 3086

 

Your details
 
Name :  
_______________________________________________
Address :  
_______________________________________________
_______________________________________________
Phone :  
(     ) ___________________________________________
Email :  
_______________________________________________
Occupation and/or   interests :  
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________

 

Subscription info (please circle applicable)

Single $10.00 ……………….
Family $20.00 ……………….
Concession $5.00 ……………….
(pensioner, full-time student, unemployed, under 18)
Corporate $100.00 ……………….
(councils, clubs, societies etc.)
Donations ……………….

 

Total enclosed $……………….

Thank you for your interest