NATURAL HISTORY SOCIETY OF PRINCE EDWARD ISLAND c/o Margaret E. Mallett, 53 Fitzroy Street, Charlottetown CIA 1R4

Please return this form with your 1986 renewal / new membership.

Enclosed is my membership:

regular ($4.00) student ($2.00)

family ($5.00)

NAME:

ADDRESS: ' POSTAL CODE:

HOME PHONE N0.: WORK PHONE N0.:

I would be interested in having an article written for the newsletter on \ the following topic(s):

I would be interested in the following topics / speakers for subsequent monthly meetings:

I would be interested in taking part in the following field trips;

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