Membership

Membership Application/Renewal Please print and mail the following:
Current member( ) past member ( ) ________year
Name:
Address:



Postal Code:
Telephone:	(h)
	(w)
E-mail:
Interested in volunteer work.	( ) yes ( ) no ( ) perhaps
How you learned of us: ________________________________________
Consider giving a membership as a special occasion gift or encouraging a friend to inquire. Membership Category
	1 year	3 year	Total
Individual:	15.00	40.00	$
Student/senior	10.00	25.00	$
Family: children under 17	20.00	55.00	$
Individual for 25 years		200.00	$
Donation:			$
Total Amount Submitted:			$
Please make cheques payable to:

Friends of Gatineau Park Room 227, 33 Scott Road, Chelsea, Québec J9B 1R5 Tel (819) 827 3113 E-mail: friendsgatineaupark@myexcel.ca