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Membership Application Form
Dr ? Miss ? Ms ? Mrs. ? Mr. ? Other ?
Last Name: _____________________________
First Name: _____________________________
Address: _______________________________
_______________________________________
Telephone: H: ___________ W: ____________
Mobile: __________ E- Mail:_______________
Annual Membership Subscription Rates:
- $15.00 Student
- $20.00 Individual
- $25.00 Family/Couple
- $25.00 School & Community Groups
Donations are always welcome.
Please make your cheque payable to:
Friends of the Wellington Botanic Garden Inc.
and post to:
Membership Secretary
P O Box 28-065
Wellington
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