FRIENDS OF NYSLVLEY AND NYL FLOODPLAIN

For membership applications please complete the submission form below and submit it.

APPLICATION FOR MEMBERSHIP

* indicates a required field

Your Name: *

Family Members: *

Tel: Home/Work *

Cell: *

Email 1: *

Email 2:

Postal Address: *

Postal Code *

Membership Fee: *
Donations: (Thank you)
Total: *

Families R450 per annum, Singles R350, Clubs and Corporates by arrangement.

Banking Details: Nedbank Centurion, Branch Code: 16214500. Cheque account Number: 1621101061.
Please send the proof of payment with the application form, thank you.

Please tell us of any skills or contacts you may like to contribute towards our project:

I/we understand that I/we attend work parties, courses and other FRIENDS OF NYLSVLEY events and Nylsvley Nature Reserve at my/our own risk/s. *

Date: *

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AANSOEK OM LIDMAATSKAP

* dui aan 'n vereiste veld

Naam: *

Familie Lid: *

Tel: Huis/Werk *

Sel: *

E-Pos 1: *

E-pos 2:

Posadres: *

Kode *

Lidmaatskap Fooi: *
Donasies: (Dankie)
Totaal: *

Gesinne R450 per jaar, Enkele persoon R350, Klubs en Maatskappye soos ooreengekom.

Bank Besonderhede: Nedbank Centurion, Takkode: 16214500. Tjek rekening nommer: 1621101061.
Stuur asb die bewys van betaling saam met die aansoekvorm, dankie.

Vertel ons asseblief van enige vaardighede of kontakte wat jy wil bydra tot ons projek:

Ek/ons verstaan dat ek/ons werk partytjies, kursusse en ander FRIENDS OF NYLSVLEY funksies by Nylsvley natuur Reservaat op eie risiko bywoon. *

Datum: *

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