










Print the form below, fill out and send to
the NIAGARA FALLS NATURE CLUB along with your cheque, Thank You.
MEMBERSHIP
APPLICATION / RENEWAL NAME
................................................................................ SINGLE
MEMBERSHIP J $25.00 FAMILY MEMBERSHIP J
$35.00 DONATIONS:
$........... CONSERVATION FUND: $........... HOWARD
MARTIN BURSARY: $...........
NIAGARA FALLS NATURE CLUB
P.O. Box 901, Niagara
Falls, Ontario, L2E 6V8
I Would like to J become a member J
renew my membership
ADDRESS...........................................................................
POSTAL CODE.................
TELEPHONE..........................
E-mail address....................................................................![]()