Membership Form Membership Full name (First and Last Name) Partner Full name, if applicable (First and Last Name) Full address (including city and postal code) Phone Email Partner Email Membership Status New Renewal Membership Type Individual $20 Family $30 Under 30 years of age, free Optional Donation Donations are vital to the Club to cover expenses, support projects, retain knowledgeable speakers and help local conservation efforts. In return, you will receive a charitable receipt and our thanks. The ONC is an incorporated, federally registered charity. Charitable Number: 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
