NATURE
KENYA
PRINT & FAX -254 20 3741049-
Local SUBSCRIPTION FORM
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PLEASE FILL APPROPRIATE AREAS FOR YOUR DETAILS:
NAME..........................................................................................
ADDRESS ...................................................................................
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POSTCODE ................................................................................
COUNTRY..................................................................................
(If paying by credit card this must match the cards' Postal Address)
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YES, PLEASE SIGN ME UP
ON THE KENYA BIRDING OFFER @ 3000/-,
which includes member benefits [ ]
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YES, PLEASE SIGN ME UP AS A MEMBER OF NATURE KENYA!
(Tick where appropriate)
FULL @ KSH 1,000 [ ]
SPONSOR @ KSH 3,000 [ ]
FAMILY @ KSH 1400 [ ]
STUDENT @ KSH 400 [ ]
INSTITUTIONAL @ KSH 1000 [ ]
CORPORATE @ KSH 10,000 [ ]
CORPORATE plus @ KSH 20,000 [ ]
Help us do more with a donation KSH ............................... Thank YOU!
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PLEASE Also SEND ME THE FOLLOWING PUBLICATIONS:
(Member rates below)
THE JOURNAL OF EAST AFRICAN NATURAL HISTORY @ KSH 1000 [ ]
KENYA BIRDS (FREE with membership)
SCOPUS @ KSH 500 [ ]
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CREDIT CARD DETAILS
CARD TYPE..............................................
(We accept only Mastercard, Visa, JCB or American Express)
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Expiry Date ......................................................
Amount to be Debited KSH
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SIGNATURE .............................................................................
Date .....................................................
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Thank
you for filling in this form. Please fax to
Nature Kenya
+ 254 20 3741049
If paying by cheque please post it with cheque to
Nature Kenya
Membership Services
P. O. Box 44486 GPO
00100 NAIROBI
KENYA