Membership Details

Merseyside Naturalists' Association

Membership Application

Name ..............................................................

Address .........................................................

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

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

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

Telephone ....................................... (optional)

E-mail .............................................. (optional)

I would like to join the MNA.

I enclose a cheque for ......................

Individual membership is £5 a year.

Please make your cheque payable to the

Merseyside Naturalists' Association.

Signed ............................................................

Date ...............................................................

Send this form and your cheque to

Membership Secretary, MNA

John Clegg, 29 Barlow Lane, Kirkdale

LIVERPOOL, L4 3QP