Last Name.……………………………………….. First Name.……………………………………...

Last Name Partner….…………………………… First Name Partner……………………………..

Address…………………………………………… PO Box………. RR………………………….

City………………………………………………... Prov.…… Postal Code……………………....

Tel.………………………..……… E-mail.……………………………………………………………….

Memberships are due on September 1st

Two year memberships are accepted.

New…………… Family $ 30

Renewal……… Individual $ 20

If you wish to make a donation to the "Orillia Naturalists’ Club" for its projects a receipt for

Income Tax purposes will be issued. The ONC is an incorporated, federally registered charity.

Donation $......... Enclosed: Cheque $......…………………

Cash $......………………...

Please send this completed form with your cheque payable to the Orillia Naturalists’ Club to:

Orillia Naturalists’ Club, c/o Membership co-ordinator,

PO Box 2381, Orillia, ON, L3V 6V7

PLEASE CLEARLY FILL IN ALL SECTIONS APPLICABLE, and SEND BEFORE END OF SEPT