Royal Zoological Society of NSW

Royal Zoological Society of NSW

Membership RENEWAL Form (on-line)

Please print this form using your web browser's print function, complete the details and send together with cheque, money order or credit card details to:

The Executive Officer
Royal Zoological Society of NSW
PO Box 20 Mosman NSW 2088

I....................................................................................................................................................

(full name, block letters please)

of...................................................................................................................................................

......................................................................................................................................................

.......................................................................................................Postcode.................................

Telephone:......................................................................................................................................................

wish to renew my membership of the Royal Zoological Society of New South Wales and agree to be bound by the memorandum and articles of association. A membership year runs from 1 July to 30 June. I enclose my annual subscription for:

Tick here for membership July 2008- June 2009...........

(please circle appropriate amount - all rates in Australian dollars AUD)

	Scientific or Ordinary Member (with all publications)	$90.00
	Scientific or Ordinary Member (no publications)	$45.00
	Student Member (with all publications)	$45.00
	(Signature of supervisor:.............................................. )
	Junior Membership (under 18 years of age)	$20.00
	(Junior Member's date of birth:.................................... )

Signature........................................................................ Date.....................................

Method of payment:

Cheque or Money order enclosed for $ ..........................................
(make payable to " Royal Zoological Society of NSW")

or debit my: (Please circle one)

Bankcard

MasterCard

Visa

to the value of $.....................................

Name on card:...................................................................................................................

Credit card number:

Expiry date:.............................................

Cardholder's signature:

RZS Newsletter by Email

All members of the Society receive a regular newsletter informing them of forthcoming event, and points of zoological interest. You may ELECT to receive your newsletters by email by completing the section below.

I elect to receive my RZS Newsletter by email.

My email address is: ....................................................................................................................