BUTTERFLY CONSERVATION SA 

Butterfly Conservation SA Inc.- Membership Form

 Name[s]:...........................................................................

Address:.............................................................................

.................................................................PC.....................

Tel:.........................................[h]........................................[wk]

Fax:.....................................................................................

Email....................................................................................

Would like to receive your newsletter via email as a PDF?  Yes/No

Annual Subscription $10 per year July to June:      $................

[you may pay up to three years in advance]

Donation:                                                              $................

Please indicate your areas of interest:

...........Seeking information

...........Provide expertise on plants, butterflies

...........Do you have collections?

...........Help with projects

...........Growing food plants

...........Silent member/Financial support

Please complete and return to:

Treasurer, 

Butterfly Conservation SA Inc.,

20 Thornton Street

Kensington SA 5068