NSWFMA membership form

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Current Details on File


Institution Name:

 

License Number:

Contact Name:

Title:

Institution Location:

Postal Address:

Phone Contacts

Work Number:

Mobile Number:

After hours or Home Number:

 

Other Contact Details

Fax Number:

Email address:

Membership Status:

Revised Details if Necessary


Institution Name:

 

License Number:

Contact Name:

Title:

Institution Location:

Postal Address:

Phone Contacts

Work Number:

Mobile Number:

After hours or Home Number:

 

Other Contact Details

Fax Number:

Email address:

Membership Status:

Please indicate your consent of the release of the above information to other members only; 

(Please Circle)       YES   or      NO

Membership Categories

Associate

$55

Full

$220

Membership Category Details

Any person, partnership or corporate body or any other body which does not conduct a Fauna or Marine Park for Commercial, educational or scientific research purposes may be given membership under this category at the discretion of the Executive Committee.  Associate membership doesn’t entitle voting rights and shall not be permitted to hold any office in the Association

Membership Category Details

Any person, partnership or corporate body, or any other body who conducts a Fauna or Marine Park for commercial, educational or for scientific research purposes, shall be eligible as a Full member of the Association.  Full membership entitles voting rights and the opportunity to hold any office in the Association.

Please find enclosed cheque/money order for sum of  $55 / $220 (cross out incorrect statement) being for Associate / Full (cross out incorrect statement) membership to the NSW Fauna & Marine Parks Association.  

Please make Cheque/Money order Payable to the NSW FAUNA & MARINE PARKS ASSOCIATION INC. and send completed application with Cheque/Money order to:

NSW Fauna & Marine Parks Association Inc.
Treasurer

P.O. Box 4330
MARAYONG  NSW  2148
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