FRIENDS of RIVERS, PEEL Inc
www.forpeel.org

MEMBERSHIP

For Year Ending December 2006

 

 

Secretary: M.Smith
Lot 11 Murray Tce
Sth Yunderup 6208
Tel 9537 6305

 

Applicants Name………………………………Signature…………………………

Address…………………………………………………………………….

Tel No………………………..

 

Signature. ………………….                               ………………….

Name (Printed) ………………….                      ……………………
                             PROPOSER                                SECONDER

 

ANNUAL SUBSCRIPTION PER PERSON $10.00

Please forward to:
Treasurer, Mrs Margaret Elton
11 Banksia Tce,
Sth Yunderup 6208