Page 46 Advertisement 1

Forest and Bird, Volume 15, Issue 2, 1 May 1984, Page 46

MEMBERSHP APPLICATION 1 APPLY FOR MEMBERSHIP IN THE FOLLOWING CLASS and enclose my cheque or postal note) PLEASE TICK APPROPRIATE BOX JUNIOR FAMILY S15.00 p.a- under 17 or at school) Age (Husband & Wife, Single S10 p.a- with or without Group S10 p.a. children) No. of Children ORDINARY S15.00 p.a- under 17 years SENIOR CITIZEN (over 60) Husband & Wife S10.00 p.a. LIFE S250.00 Single also S10.00 p.a- per person MR MRS MISS (BLOCK LETTERS PLEASE) MASTER ADDRESS TELEPHONE No. PLEASE TICK APPROPRIATE BOX JUNIOR FAMILY S15.00 p.a- (under 17 or at school) Age (Husband & Wife, Single S10 p.a- with or without Group S10 p.a- children No. of Children ORDINARY S15.00 p.a- under 17 years SENIOR CITIZEN (over 60) Husband & Wife S10.00 p.a. LIFE S250.00 Single also S10.00 p.a- per person MR MRS MISS (BLOCK LETTERS PLEASE) MASTER ADDRESS TELEPHONE No_ PLEASE TICK APPROPRIATE BOX JUNIOR FAMILY S15.00 p.a_ (under 17 or at school) Age (Husband & Wife, Single S10 p.a- with or without Group S10 p.a. children) No_ of Children ORDINARY S15.00 p.a. under 17 years SENIOR CITIZEN (over 60) Husband & Wife S10.00 p.a- LIFE S250.00 Single also S10.00 p.a. per person MR MRS_ MISS (BLOCK LETTERS PLEASE) MASTER ADDRESS TELEPHONE No. Cut along the dotted line and post , together with your cheque or money order to: The National Secretary Royal Forest & Bird Protection Society of N.Z. Inc. P.O Box 631 Wellington.