| Membership
& Donation Form |
|
Name ___________________________________________________ |
| Street
__________________________ |
Apartment |
___________ |
| City
____________________________ |
Postal
Code |
___________ |
| (Area)
Day Phone ___________ (Area) Evening
Phone ___________ |
| Email
Address ____________________________________________ |
| |
|
|
|
|
|
Your
support is appreciated and will
help us work to
make our community more environmentaly
friendly. |
Please make cheque
payable to TREA and send to:
Thames Region Ecological
Association
1017 Western Road
London, Ontario N6G 1G5
Telephone (519) 645-2845
|
Donations
of $10.00 or more will be issued
official tax receipts. |
Charitable
Registration Number - #130005721 RR0001 |