Membership
Form
2007 Annual Membership Costs:
Individual
€25
Cost includes group personal liability insurance.
Name
____________________________________________
Address
____________________________________________
____________________________________________
E-mail
____________________________________________
Phone
____________________________________________
Fax
____________________________________________
Please return completed form
and membership fee to:
Pádraig Keirns
Coolough
Briarhill
Galway City
Email:
galwaynaturalists@eircom.net