PENOKEAN HILLS FIELD NATURALISTS
Affiliate of Ontario Nature (Federation of Ontario Naturalists}
MEMBERSHIP APPLICATION FORM
Please mark the type of membership in the appropriate space below. In the case of a FAMILY
membership, please indicate the number of family members.
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____INDIVIDUAL Cost: $15.00 |
____SENIOR Cost: $10.00 (60 years and over) |
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____FAMILY Cost: $25.00 (# of people____) |
____STUDENT Cost: $10.00 |
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 runs September to May. 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".