FRIENDS OF MARINO CONSERVATION PARK

 

Membership Application Form

(Annual subscription: $10.00)

Name: …………………………………………………………………………….

 

Postal Address: ………………………………………………………………..

 

……………..…………………………………….Postcode: ……………

 

Phone Number: (Home)…………………. (Mobile) …………………

 

Email: ………………………………………………………………………………

 

Please return this form, with subscription, to one of the following:

         

            Secretary: Bev Bown- 37 Nimboya Road, Marino 5049  

            President: Alan Wilson- 49 The Cove Road, Marino 5049

            Treasurer: Nancy Higgins- 12 Carlton Terrace, Marino 5049