British Columbia Waterfowl Society Membership Application Form

Membership in the Society provides free year-round admission to the Sanctuary; a 10% discount on purchases in the gift shop, and quarterly issues of the Society's publication "Marshnotes"featuring Sanctuary highlights and conservation issues of local interest.

_____Membership renewal _____New membership

Enclosed is my cheque or Visa/Mastercard number for:

Single Membership

_____$20

Family Membership

_____$40

Life Membership

_____$500

Donation: (Tax deductible)

$______

VISA

#_________________

MASTERCARD

#_________________

Expiry Date:

____________________

Name: (Mr./Mrs./Miss/Ms.) __________________________

Address: _________________________________________

_____________________________ Postal Code: ________

Please print, complete and mail this form to: British Columbia Waterfowl Society

5191 Robertson Road, Delta, BC V4K 3N2

Telephone/ Fax: (604) 946-6980