CVNS Membership Application

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Name *

Email *

Address *

Town/City *

Postal Code *

Telephone

New Member? *

• Yes
• No

Rates *

• Individual ($30.00/year)
• Family ($45.00/year)

Children under 16

Donation (Receipts will be issued for donations of $25 or more)

newsletter

• Hardcopy Newsletter ($5.00/year)

Total

$ 0.00

Interests

Submit

Please send fee and donation by E-Transfer to cvns@naturecowichan.net