PENOKEAN HILLS FIELD NATURALISTS
Affilliate of the Federation of Ontario Naturalists (FON)

MEMBERSHIP APPLICATION FORM


Please mark the type of membership in the appropriate space below. In the case of a FAMILY or YOUNG NATURALISTS membership, please indicate the number of family members.

____INDIVIDUAL Cost: $15.00
 
____SENIOR Cost: $10.00
           (60 years and over)

____FAMILY Cost: $25.00
           (# of people____)
____STUDENT Cost: $10.00
____YOUNG NATURALIST Cost: $5.00
(# of Parents____, # of Young Naturalists____)


Kindly provide all the information requested below. In the case of a renewal this will allow for an update of your records.

NAME _______________________________ PHONE: __________________________

EMAIL ADDRESS: ____________________________

STREET ADDRESS: _________________________________________

CITY/TOWN: _______________________ POSTAL CODE: ________ ________




Our membership year starts on the first day of September of each year.  New members joining the club at the March General Meeting and after this meeting, but before the first day of September, will be granted membership for both the current and the following membership year.  Memberships not renewed by the thirtieth day of November are considered lapsed.  Membership fees may be paid in cash or cheque at any club meeting or a cheque can be mailed to the attention of Membership PHFN, P.0. Box 74, Elliot Lake, Ontario P5A 2J6.  Please make cheque payable to "Penokean Hills Field Naturalists".