MEMBERSHIP APPLICATION  FORM

KARAWATHA  FOREST  PROTECTION  SOCIETY  INC

PO Box 2017 Sunnybank Hills  4109

I would like to become a member/ renew my membership of the society for 2005/06
I agree to support the society in accordance with the constitution.

Single    $10              Family    $15                  Pensioner    $5                             

Name___________________________________________________________________

Address_________________________________________________________________

________________________________________________________________________

Phone_______________Email ______________________________________________

Signature__________________  Occupation __________________Date______________


To become a member please print and fill out this form and send it to PO Box 2017 Sunnybank Hills  4109, together with a cheque or money order for your membership dues.