Membership Form

FRIENDS OF THE DARWIN BOTANIC GARDENS
APPLICATION FOR MEMBERSHIP

Membership Type:		Individual ($15)	Family ($25)
		Concession ($10)	Corporate ($35)
*Name(s):*
*Postal Address:*
*Phone:*	Business hours:
	After hours:
*Fax:*
*Email:*

*Send this form to:*	Membership Secretary Friends of the Darwin Botanic Gardens PO Box 36435 WINNELLIE NT 0821 Please make your cheque or money order payable to: Friends of the Darwin Botanic Gardens Inc.