THE SPECIES ORCHID SOCIETY OF W.A. INC.

Membership Application Form
(Please use block Letters)

Name: …………………………………………………………………………
(First names) (Surname)

Address: …………………………………………………………………………

Suburb/Town: …………………………. Postcode: …………………

Phone (H) …………… Wk…………………

E-mail: ……………..……………………..

I would like to receive the monthly newsletter via email or snailmail (Cross our whichever does not apply)

Signature: ………………………………………………

Do you have any objection to your name; address, phone numbers and e-mail address being added to our members listing that is supplied to all members? Yes / No

Please notify the Secretary of any change of address

Secretary Graham
8 Bedelia Way, Hamersley 6022, Ph/fax 9447 4528

Membership Fees
Membership Fees
Family (1st year @ 2 badges) $31.00 renewal $15.00
Single (1st year @ 1 badge) $18.00 renewal $10.00

New members who don't live in Perth will not require name badges, therefore their membership will be at the renewal fee only.