Associate Membership  Application:

(Please Print)

Name___________________________________________________________________________________

Name of organization (optional - for use if membership is in relation to a business or organization)

Address_________________________________________________________________________________

Town___________________________________________________________________________________

Postal Code________________________________________________ Phone________________________

    oRenewal    oNew Member

Please check the category that fits you best:

    o City/Town Resident   o Rural Resident  o Farmer

    o Educator  o Student  o Media  o Business  o Other ________________________________________

Optional: Please indicate your particular interest(s) relating to habitat in Haldimand e.g. planting trees, fishing, general conservation issues.

_______________________________________________________________________________________

Membership is $15 per year or $40 for three years and includes all members of the family.

Members receive notices of upcoming events and news bulletins twice a year.  Mail cheque payable to Habitat Haldimand Inc. with this form to: Habitat Haldimand Inc., P.O. Box 275, Cayuga   ON,   NOA 1EO

Habitat Haldimand Inc.  Tel:  (905) 774-7845.   Website:   www.habitathaldimand.ca

Habitat Haldimand Inc.

Helping Fish and Wildlife in our Community

Habitat Haldimand is a non-profit group with a mission to support the sustainable management and enhancement of our fish and wildlife resources within the Haldimand area.  Its objectives are:

l To enhance the information and educational components of fish and wildlife                  within the community.

l To ensure that the basic concepts of conservation of our natural resources are introduced within the Haldimand elementary and high school systems.

l To  foster partnerships between traditional as well as non-traditional groups and organizations.

l To provide awareness of compatible programs of the Ontario Ministry of Natural Resources, Conservation  Authorities and non-government organizations.

Come and join us!

You can use the Print function on your web browser to print out the Form above.

Helping Fish and Wildlife in our Community

Text Box: Habitat Haldimand Inc.