Blue Mountains Conservation Society
Membership Application

By applying to join The Society you're agreeing
to support its Mission, Aims and Objectives.

Please indicate if you intend to join the Society's bushwalks. The bushwalking levy covers the cost of insurance (public liability and personal accident insurance) and it is compulsory for a member who plans to participate in any bushwalks organised by the Society.

* - compulsory field.

Full name^*:		BMCS Bushwalker: yes no
Email^*:
Postal Address^*:

Suburb/Town^*:
State^*:	Postcode^*:
Phone:	Mobile:

When applying for household membership, every member of the household should be included.

Household member 2	Full name: BMCS Bushwalker: yes no Email:
Household member 3	Full name: BMCS Bushwalker: yes no Email:
Household member 4	Full name: BMCS Bushwalker: yes no Email:
Household member 5	Full name: BMCS Bushwalker: yes no Email:
Household member 6	Full name: BMCS Bushwalker: yes no Email:

Do you wish to be notified by email when the Society's newsletter "Hut News" is available on our website - instead of receiving printed copies by post? yes no

Would you like to be involved in any of the following activities or working groups?
Land use/development issues. Environmental Education.   Threatened species issues.
Web or database management. Plant nursery assistance.   Bushcare.
Publicity/photography. Water quality/sourcing studies.   Society administration.

Membership paid by: