Western Australian Naturalists' Club - Application for Membership

Application for Membership
WESTERN AUSTRALIAN NATURALISTS' CLUB INC.
(Note: This form is not appropriate for renewals or journal subscriptions)
For membership of the Club for the calendar year 2008

If using the email option, please remember to mail your cheque or money order to the Office separately!

Objects: To encourage the study of natural history in all its branches and to endeavour to prevent the wanton destruction of native flora and fauna. Please:
1) Complete this form 2) Submit and mail cheque or Print and mail form with cheque 3) Make cheque payable to W.A. Naturalists' Club	Mail to: The Hon. Treasurer W.A. Naturalists' Club PO Box 8257 PERTH BUSINESS CENTRE W.A. 6849.

Title	Family/Surname	Given names	Date of Birth (if under 18)
			(Minimun age 6 years)

Street
Suburb:		Postcode:
Telephone (home):		Email:

Subscriptions: Subscriptions are for the Calendar Year. Renewal is due on the 1st January each year. Applications received after 1st October will be credited to the end of the following year.

Branch Affiliation:You may choose to be affiliated to a branch. Remember membership entitles you to participate in any or all branches and groups

Publications:Each membership address will receive a monthly newsletter and our biannual journal.

Acknowledgement:I/ We acknowledge and accept the objects of the club, as set out above, and request consideration of my/our application. We are all resident at the one address.

Yes
Date