Port Moody Ecological Society

 

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MEMBERSHIP APPLICATION FORM

Please note:  Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may e-mail your response to this form to:  Port Moody Ecological Society 

Thanks for visiting our website and investing your time looking through our pages. We in the Port Moody Ecological Society take pride in our community and strive to preserve its natural environment. This means the forests, the streams and all of their natural inhabitants. We feel that a healthy environment is essential to enjoyable living.

As an adjunct to our custodial activities, we also run a salmonid hatchery, raising chum, coho and cutthroat trout.  We also operate an environmental education program for the schools in our area, in which we teach about the ecology of our surrounding area and promote an appreciation of the need to protect and enhance our environment.

Should you choose to join our society, upon filling in this form and choosing the membership category in which you would belong, you may send us a cheque or money order for your dues to:

Port Moody Ecological Society
300 Ioco Road
Port Moody, BC
V3H 2V7
A receipt will be sent by return mail. Your support is greatly appreciated!

Please fill in the following information about yourself:
Name
Company Name
Address
 
City 
Province/State
Postal Code
Home Phone #
Work Phone #
E-mail Address
   
Would you be willing to do some volunteer work for our society? If so, in which of the activities listed below would you wish to be involved?
You may choose multiple items









 
As a member of our society, when would you be available:




 

Membership Type Desired

 
Life Membership ($150)
Patron ($75)
Corporate ($150)
Family ($15)
Individual ($10)
Student ($5)

Memberships fees are per year for patron, corporate, family, individual and student memberships.  Lifetime memberships are a one-time fee of $150.00
 

 

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