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Make
cheques payable to: Nature Regina.
Mail to: Nature Regina, Box 291, Regina, SK S4P 3A1
Name: _______________________________________________________________
Address: _____________________________________________________________
City: _________________________________________________________________
Postal Code:________________________Telephone: _______________________
Email (optional):_____________________________________________
New membership________ or Renewal____________
Fees for
Nature Regina:
Single ($12)________ Family ($20)________ Group ($25)________
Junior (under 18) ($10)________ Senior (65 or older) ($10)________
How many people are included in your Family membership?______
Donations
to Nature Regina (optional):
Friends ($24 & under) Supporter ($25-$49) Patron
($50-$99) Benefactor ($100 & over)
Amount of your donation $______
Please
indicate in which fund you would like your donation placed:
Conservation Fund_____ General_____
Acknowledge my name in the newsletter
yes_______ or no_______
(donations are tax deductible)
Total amount enclosed: $_________________________
Please note: as of November 2009, Nature
Regina is no longer accepting membership fees on behalf of Nature Saskatchewan. We continue to be an affilate
of Nature Saskatchewan, and encourage Nature Regina members to participate in Nature Saskatchewan, but
we please ask our members to send their Nature Saskatchewan memberships directly to Nature Saskatchewan
at Room 206, 1860 Lorne St., Regina, SK, S4P 2L7 Program
Survey and Volunteering (Optional information): Newsletter
___ Hidden Valley Sanctuary ___ Bird Alert ___ Birdfeeders/Birdhouses
___ Children's Programs ___ Field Trips ___ Conservation/Advocacy ___
Other __________________________ If you are
interested in volunteering some of your time, please check here _
This change has no effect on the benefits of membership in either organization.
(Please check only 2)
Areas of Interest:
Plants ___ Birds ___ Mammals ___ Landscaping/Gardening ___ Insects ___
Reptiles/Amphibians ___ Photography ___ Other _______________