KFN Membership Form

YES! I want to become a member of the Kingston Field Naturalists

Name:
Mr.    Mrs.    Miss    Ms  
Address 1:  
Address 2:  
City:     Province:
Postal Code:     Country:
E-mail:  
E-BlueBill: Please send me the Blue Bill electronically (PDF) rather than by mail to reduce my environmental impact.
Phone: Area code   Number

Membership Category (check one):

 $30 individual
 $32 family
 $20 young adult (18-25)
 $800 life member


           
Are you interested in any of the following activities?

 Field trip leader
 Executive board member
 Social convener
 Speaker
 Junior Program Leader
 Other:

Tax receipts are issued for donations of $10.00 or more:

   I would also like to give a donation to the:

General Fund    Habitat Preservation Fund

  In the Amount of:

Please make your cheque payable to:

   Kingston Field Naturalists

Please print this form using the browser print button and send it along with your cheque or money order to:

    Kingston Field Naturalists
    P.O. Box 831
    Kingston, Ontario
    K7L 4X6

    Attn: Membership