Membership – The Wetlands Centre

Primary Member *

First

Last

Phone

Age

Email *

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Have you been a memeber of The Wetlands Centre previously?

No, this is my first time registering as a member.
Yes, I am simply renewing my membership for this year.
Yes, but it's been over a year since I renewed my membership.

What category of Membership are you applying for? *

Individual - $20 per year
Concessional - $10 per year
Family - $30 per year
Affiliated Non-Profit - $40 per year

How many family members do you wish to add?

Selected Value: 1

Family Member #1 *

Member #1's Age

Family Member #2 *

Member #2's Age

Family Member #3 *

Member #3's Age

Family Member #4 *

Member #4's Age

Family Member #5 *

Member #5's Age

Family Member #6 *

Member #6's Age

Family Member #7 *

Member #7's Age

Family Member #8 *

Member #8's Age

Family Member #9 *

Member #9's Age

Family Member #10 *

Member #10's Age

Membership Fees - Payment Choice

Credit / Debit Card Transfer
Bank Transfer / Electronic Funds Transfer (EFT)
Cheque / Money Order
Cash / in-person

Cheques / Money Order: Please make cheques payable to "The Wetlands Centre".

You may mail in your cheques or hand it in person at

The Wetlands Centre Cockburn
184 Hope Rd, Bibra Lake WA 6163

The fee may be paid by Bank Transfer or EFT made out to

Name: The Wetlands Centre

BSB: 633-000

A/c No: 170678965

Description: ‘MTWC’ and Surname e.g. ‘MTWCJones’

You can make cash payments in person at

The Wetlands Centre Cockburn
184 Hope Rd, Bibra Lake WA 6163

Payment acknowledgement *

I have noted the above information and will make my payment subsequent to submitting this application.

Acknowledgement *

The information submitted herein is accurate to the best of my knowledge. Kindly add me as a member for the year 2023-24

Individual Membership *

Price: $ 20.00

Concessional Membership *

Price: $ 10.00

Family Membership *

Price: $ 30.00

Affiliated Not-for-profit Organisation Membership *

Price: $ 40.00

Do you wish to make a donation?

Donations of $2 or more are tax-deductible (excluding membership fees)

Total

$ 0.00

Join us

Your membership brings you these nifty benefits

Membership Form