Print the form below, fill out and send to
the NIAGARA FALLS NATURE CLUB along with your cheque, Thank You.

NIAGARA FALLS NATURE CLUB
P.O. Box 901, Niagara Falls, Ontario, L2E 6V8

MEMBERSHIP APPLICATION / RENEWAL
I Would like to   J become a member    J renew my membership

NAME ................................................................................
ADDRESS...........................................................................
POSTAL CODE................. TELEPHONE..........................
E-mail address....................................................................

SINGLE MEMBERSHIP J $25.00     FAMILY MEMBERSHIP J $35.00

DONATIONS: $...........   CONSERVATION FUND: $...........   HOWARD MARTIN BURSARY: $...........

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