NOVA SCOTIA WILD FLORA SOCIETY
http://nswildflora.ca/

Membership Form

Yes, I (we) want to be a member(s). The membership fee of $15 (individual),             $20 (family) is payable to the Nova Scotia Wild Flora Society.  The membership year is from January 1 to December 31. Memberships received after September 1 of any year are valid through December of the following year (a maximum of 16 months.)
Name:		  ________________________________________________________
Address:	  ________________________________________________________
City/Province: ________________________________________________________
Postal Code:	  _________________
Telephone:	  ________________________________________________________
Email:		  ________________________________________________________
Special Interests: _____________________________________________________
Date: _________________________________________________________________________            Signature: ____________________________
I am interested in:  giving a presentation  _____; leading a field trip  _____;  
contributing an article  _____;  contributing photos  _____;  joining a committee _____;
other  _______________________________________________________________
Mail completed form to: 
Nova Scotia Wild Flora Society 
c/o Nova Scotia Museum of Natural History 
1747 Summer Street 
Halifax, N.S. B3H 3A6 

Participants are responsible for their own safety and equipment at all times.