Fredericton Nature Club

Membership Form

Date
*
Full Name
*
Email Address
*
Phone Number
*
In Address Line 2 Type NA
*
- Street Address
- Address Line 2
- City
- State / Province / Region
- Postal / Zip Code
- Country
Paypal
How will you be paying
*

Cheque by Mail
Pay at Club Meeting
What type of membership?
*

$20.00 Individual membership
$25.00 Family Membership
If you want to mail the form. Otherwise click on the submit button. Mail form to: André Vietinghoff Treasurer Fredericton Nature Club 224 Highland Ave, Fredericton, NB E3A 2S6

This form can be printed from your email by going to - File - in the menu and click on print.

Photo by Graham Forbes. Pileated woodpecker at Odell Park

Andre Vietinghoff Treasurer for the Fredericton Nature Club would like members to send the membership Fee by cheque to 224 Highland Ave., Fredericton, NB E3A 2S6. Attention : Andre Vietinghoff

You can still pay at the club meeting.