NEC Membership Form

Nelson Environment Center
Membership Form

Your Name
Phone

Email
Postal Address

Membership Type:	Individual ordinary member: $ 10.00 Student or pensioner: $ 5.00 Group Members: (<150) $ 30.00 Group Members: (> 151 Members) $ 60.00 Additional Donation:

Cheques can be sent to:
PO Box 715, Nelson.