Membership Form Membership Full name (First and Last Name) Spouse Full name, if applicable (First and Last Name) Full address (including city and postal code) Phone Email Spouse Email Membership Status New Renewal Membership Type Individual $20 Family $30 Under 30 years of age, free Optional Donation Donations bring the program to life! If you can, an additional donation helps the Club so much. In return, you will receive a charitable receipt and our thanks. The ONC is an incorporated, federally registered charity. 137975777RR0001 TOTAL of Membership & Additional Optional Donation PAYMENT via Etransfer to orillianaturalists@gmail.com Cheque mailed to Orillia Naturalists’ Club c/o Treasurer P.O. Box 2381 Orillia, ON L3V 6V7 I will give my contribution in person at a meeting PROGRAM FEEDBACK: What are you interested in? What places would you like to visit? Your feedback helps us shape the program! VOLUNTEER: There are many ways to help such as introducing speakers, helping plan the program and more. Let us know if you would like to help. I’m interested, please contact me No thank you (or leave blank) Submit If you are human, leave this field blank. Δ
