The Friends of Ojibway Prairie - Membership and Donation Form

In order to become a member, or to make a donation, fill in and print the following form and mail it to:

The Friends of Ojibway Prairie Inc.
5200 Matchette Road
Windsor, Ontario
N9C 4E8

(519) 966-5852

Memberships and donations can also be made at the Ojibway Nature Centre.

Name:
Address:
City:
Province/State:
Postal/Zip Code:
Phone Number:
E-mail address:
New Membership:
Renewal:
(a membership is good for one calendar year)

Membership Categories:
	Individual - $10.00
	Senior - $7.00
	Family (must live at same address) - $15.00
	Friends Groups, Clubs - $20.00
	Life Membership - $300.00 (includes a $200.00 donation)

Donations:

If you would like to direct your donation to a specific program, or make a memorial donation please check one of the boxes below. If In Memoriam is selected, we will need the name of the deceased as well as the name and address to whom an acknowledgement should be sent.

Specific Programs:

Donation - $ _____ Canadian tax receipt will be issued for all donations.

Adopt-A-Snake - Donate $50 towards the cost of a microchip and identification of an endangered Eastern Foxsnake and you will receive a certificate with information on your adopted snake and summary of that individual's activities.

Payment:
Membership $
+ Donation $
= Total $
Please make cheque payable to: The Friends of Ojibway Prairie
The Friends of Ojibway Prairie is a registered Canadian charity #89127 1546 RR0001