RENEWAL OF MEMBERSHIP by ZLFiPZN

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									                 Friends of Blaauwberg Conservation Area

                   APPLICATION/RENEWAL OF MEMBERSHIP

Please support the Friends of the Blaauwberg Conservation Area by filling in your details,
ticking off your membership category below and returning this notice, together with the
appropriate money, to the Treasurer c/o PO Box 20478, Big Bay, 7448
OR
Direct Deposit in our Bank Account:
Account Name:      Friends of the BCA
Account No.:       74076805702
Branch No.:        203809
First National Bank – Table View Branch

Please fax proof of deposit and completed Membership Renewal to:
John Bell : Fax no. 021 554 1739

Year ending 31 March 201….. (our year runs from April to March)

Type of membership applied for:
      *      ORDINARY         R 50.00 pa     _____
      *      FAMILY           R 60.00 pa     _____
      *      CORPORATE        R250.00 pa     _____
      *      Donation                        _____
Please provide me with a membership card     _____

      Full name: ………………………………………………………………………………………………………

      Postal Address: ……………………………………………………………………………………………
      ………………………………………………………………………………………………………………………….
      …………………………………………………………………………………………(Code)……………………

      Telephone: (H)…………………………………….(W)………………………………………………….

      E-mail:……………………………………………………………………………………………………………..

      Particular interest or specialty (if any):………………………………………………….

      SIGNATURE………………………………………………………..DATE……………………………..

      Enclosed: R……………………………..
                    Thank you for your interest - The BCA needs your support
                                 NPO Registration No. 068-317


          For more information please go to www.bca.org.za

								
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