NRPG Membership Application Form

nrpglogo.JPG    NRPG Membership Form    
    Act now to help conserve valuable bushland in the shire of Kalamunda.  
    ** Membership is open to residents of the Shire of Kalamunda only **,  
    and entitles you to receive our newsletter,  
    and to take part in project activities and workshops.  
    (All details are confidential)  
     
     
     
  Name:  
     
  Street Address:  
     
  Suburb:  
     
  Postcode:  
     
  Phone:  
     
  Fax:  
     
  E-Mail Address:  
     
  Please Indicate Membership Type:  
     
  If you would like to make a donation, please enter amount here:  
     
  If you would like to join an existing friends group, please indicate which one:  
   
     
  If you would like to adopt a reserve near you, please provide location details:  
   
   
   
       
  Do you have any special skills you may be able to offer the NRPG?:  
   
   
   
 

 

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