Membership Application Form

I / We
of
wish to apply to become a member of Cambridge Coastcare (Inc) and agree to abide by the decisions of Cambridge Coastcare (Inc).* Membership type (please tick box):
Individual	$20
Corporate	$50
Family	$30
Concession	$10
Signature:
Date:
Telephone no.
Email address

* Please contact the Secretary should you wish to find out more about Cambridge Coastcare (Inc).

Please print and fill in this membership application form, then either:
Post to:
    Cambridge Coastcare
    c/o 19 Jubilee Crescent
    City Beach   6015
    Western Australia
or
hand deliver the form to one of the committee (see Contact Information).

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