TREAT MEMBERSHIP APPLICATION / RENEWAL FORM

Subscription is $15 per annum per household
Mail to: TREAT, PO Box 1119, Atherton, QLD 4883

PRINT-FRIENDLY: CLICK ‘FILE, PRINT-PREVIEW, PRINT’ ON YOUR TOOLBAR

Enquiries: Email TREAT Secretary Doug Burchill (burchill@qldnet.com.au)

NAME
POSTAL ADDRESS
POSTCODE
PHONE NO.
FAX NO.
Email Address (where applicable)
LOCATION OF PROPERTY (if not the same as above)
Subscription Amount: $15.00 X number of years membership = $
Renewal-Yes/No
New Membership-Yes/No
Donation Amount: $

TREAT Environmental Benefit Fund »