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The Natural History Society of Swaziland Application for Membership Click link below to Print Membership Form:2008 Membership FormOr see below:The Natural History Society of Swaziland: 2008 SUBSCRIPTIONS NHSS subscription fall due on the 1st January 2008. If you wish to remain a member, please return this form, together with your remittance to (No South African Cheques please due to excessive bank charges): The Treasurer, Natural History Society of Swaziland, P.O. Box 1631, Mbabane Subscriptions can also be paid by Direct Internet Transfer to the NHSS bank account: Bank: Standard Bank, Swazi Plaza: Sort Code: 663-164 Account Number: 0140037035501 Account Name: Natural History Society of Swaziland Please email confirmation of your direct bank payment to: phil@naturalhistorysociety.org.sz so that we can correctly allocate your payment. Be sure to include your name & email.
Details (Capital Letters Please):
From: Title: _____ First Name: _______________________ Last Name: ______________________________
Address: _________________________________________________________________________________
Home Phone #: ________________ Work Phone #: ____________________ Cell #: ____________________
Email: _________________________@___________________________________________(please PRINT)
Newsletters: Please send the NHSS Newsletter as: Printed Copy ____________ (Tick)
OR Acrobat pdf File _____________ (Tick)
We enclose E80-00 for a family membership for 2008 □
I enclose E60-00 for an individual membership for 2008 □
INDEMNITY I/We ________________________ and my/our minor children, namely: ________________________ _________________________________________________________ do hereby acknowledge that my/our and my/our aforesaid children’s participation in or attendance at any outing, venture, expedition, performance or any other activity conducted, staged or organised by or under the auspices of the NATURAL HISTORY SOCIETY OF SWAZILAND (“The Society”) is entirely at my/our and my/our said children's’ own risk. I/We do hereby indemnify the Society and any member thereof in whose motor vehicle I/We and/or my/our children may be travelling and hold them harmless against injury, loss or damage which I/We or my/our said children may suffer during or in connection with my/our or their such aforesaid participation, attendance or travel.
Dated at ___________________ This _______________ Day of ________________ 2008
_______________________________ _______________________________ Signature 1 Signature 2
Note: If you let us have your email address we will send you reminders about forthcoming meetings by email.
Copyright © 2008 Natural History Society of Swaziland
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