Membership Application Form

Cowichan Valley Naturalists’ Society

Membership Application

Name   _____________________________  Email ____________________

Address Town/City __________________________

Postal Code __________________ Telephone _________________

New member? Yes No
Rates:
Individual $30.00/year
Family $45.00/year      (Children under 16 ______ )

Donation              $ _________      (Receipts will be issued for donations of $25 or more)

Hardcopy newsletter $ _________   $5.00/year for mailed newsletter (instead of emailed) (1 per household)

Total $ ________________                

Interests _______________________________________________

Please E-transfer to cvns@naturecowichan.net and email this form separately or 

 Mail your cheque and this form to: CVNS, 6 – 55 Station Street, Duncan BC V9L 1M2 or

Pay by cash or cheque and submit this form at an in-person meeting.