Membership Form

On-Line Membership Form

* Indicates required field

Membership Type *

Single ($10 annually) Family ($25 annually)

Choose one *

New membership Renewal

Single Member / Primary Family Member *

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Last

Email *

Phone Number *

Street *

Town / City *

Province *

Postal Code *

Adult Family Member 2 (if applicable) *

First

Last

Name(s) of family member(s) aged 13 - 18 *

Name(s) of family member(s) aged 0 - 12 *

Comments *

Please indicate intended method of membership fee payment: *

E-transfer Mailed cheque

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PLEASE NOTE: your membership is ONLY COMPLETE UPON RECEIPT OF PAYMENT.

Send e-transfers to:

Jim Beckett,Treasurer, at
beckettj@ripnet.com

Send cheques to:

Friends of the Ferguson Forest Centre
c/o Ferguson Forest Centre
275 County Road 44, Kemptville, ON, K0G 1J0

THANK YOU for joining the FRIENDS of the FERGUSON FOREST CENTRE!