Please print this form and post to
NAME ........................................................................................................
ADDRESS ..................................................................................................
...................................................................................................................
TELEPHONE ........................................................
E-MAIL .................................................................
Currently Membership subscriptions are under review.
In the meanwhile, a nominal fee of $10 would be acceptable.
All membership fees include 10% GST
Enclosed please find Cheque/Money Order to the value of ............................
Nominating Member .......................................................................................
I agree to observe the rules of the Big Scrub Environment Centre Inc. ..........
Signature of Applicant ....................................................................................
Please mail to:
The Big Scrub Environment Centre,
PO Box 816, Lismore NSW 2480
If you are already a member, you can pass this form onto a friend
who may be interested in becoming a Big Scrub Member.