SUPPORT FRIENDS OF THREE STREAMS & KAURI GROVE

  I/we want to support you in your good work:

Name: ___________________________     Email: ____________________________

Address: ______________________________________________________________

Phone: ___________________________

Please find enclosed:           Family Membership    $   10.00

Personal Membership   $     5.00

                                                                  Donation        $ ______

                                                                  Total              $ ______

Signed: __________________________     Date: __________________

Post to:

Friends of Three Streams & Kauri Grove
            343 SH17, RD3 Albany, Auckland

Web site: http://www.threestreams.org.nz/