Become a Member

I/We want to support the work of Phillip Island Conservation Society

1. Please choose one of the following: *

I/we are NEW membersI/we are EXISTING membersI/we want to donate to the PUBLIC FUND only

2. Please enter your personal details

First Name *

Last Name *

Company Name (if applicable)

Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Email *

Telephone *

3. Choose your MEMBERSHIP type: *

Singles Membership - $20/yearFamily Membership - $30/yearConcession Membership - $15/yearI will donate to the PUBLIC FUND only

GENERAL FUND donation - Enter your own amount (non-tax deductible)

4. Choose to donate to the PUBLIC FUND *

Yes! I want to support PICS Public Fund with a tax deductible donation. All donations over $2 are tax deductible.Not this time, thank youPublic Fund Donation - $50Public Fund Donation - $100Public Fund Donation - $150Public Fund Donation - $200I will choose my own amount

PUBLIC FUND donation - Enter your own amount -tax deductible)

5. Volunteering for PICS

If you are a new member, please let us know how you would like to assist with the work of PICS:Preserve Western Port Action GroupRed Rocks Coastcare VolunteerSaltwater Creek CoastcareAttending Shire Council MeetingsMinutes Secretary Committee MemberTreasurer/BookkeepingWord ProcessingContent CreatorArtworkFilingAssistant PublicityWriting LettersPreparing SubmissionsFundraisingHistory ResearchNewsletter teamNature Watch

PAYMENT *

Choose your method of paymentCredit Card or PaypalCheque

Complete the verification process below and you will redirected to the PAYPAL website where you can make payment via VISA, MASTERCARD or your PAYPAL account.

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IMPORTANT – HOW TO MAKE PAYMENT

1. Paying by MasterCard, Visa or PAYPAL – use the form below

2. Paying by cheque, please download this form > Membership & Public Fund Donation Form and mail back to PICS – P.O.Box 548 COWES VIC 3922

Total
A$0.00

Membership & Public Fund Donation Form

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