Field Naturalists Club of Victoria 



FORM FOR RENEWAL OF MEMBERSHIP OR OF 

 SUBSCRIPTION TO THE "VICTORIAN NATURALIST" 



(To be used by existing members or subscribers for payment of fees) 



Name(s) - 



Address 



(Please indicate if there is a joint member) 



Mr. D. E. McInnes 

 Hon. Treasurer. F.N.C.V. 



.3145 



Dear Sir. 



Please find enclosed the sum of $ . tp cover annual 



membership fees for lhe vea| . 1 07 1 . Please 



subscription to the Victorian Naturalist 

 enter this sum as follows: 



Membership fees $ 



Supporting membership $ 



Subscription to Victorian Naturalist . . . . $ 



Yours faithfully. 



