NRPG Membership Application Form

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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)

 

 

 

The completed form can be posted to:

The Secretary

NRPG

P.O.Box 656

Kalamunda 6926

 

 

 

 

 

 

 

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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