Friends Of Birds Hill Park
Membership Application Form

Printable form for Membership and Optional Donation:

To become a member, fill in and print the following form and mail it to:

Friends of Birds Hill Park
P.O. Box # 29, Group #8, R.R. #2
Dugald, Manitoba
R0E 0K0

Name:
Address:
City:
Province/State:
Postal/Zip Code:
Email:
Phone Number:
New Membership:
Renewal:
a membership is good for one year
Membership Categories:
Individual - $10.00
Couple - $15.00
Family - $20.00
Non-profit organization - $25.00
Small business - $50.00
Corporate sponsor - $500.00
Please list other family/organization emails to receive Friends news:
Donation (optional):

Friends of Birds Hill Park is a registered not-for-profit charity. Donations to Friends support the enhancement and ecological preservation of the Park including educational and interpretive programs. We will issue a tax receipt for donations over $15.

Donations made in honour or in memory of an individual are made in the name of the honoree or the deceased. At your request, a card will be sent to acknowledge your donation.

Donor categories Include :
Donor - $1-24
Contributor - $25-99
Supporter - $100-299
Sustainer - $300-499
Associate - $500-999
Patron - $1000-4999
Benefactor - $5000-9999
Endower - $10,000+
Payment:
Membership $
+ Donation $
= Total $
Please make cheque payable to: The Friends of Birds Hill Park
Visa or Mastercard #
Expiry Date:
Cardholder Name:
Cardholder Signature:
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The Friends of Birds Hill Park is a registered Canadian charity