The Goulburn Valley Environment Group Inc.

Po Box 2073 Shepparton Vic 3632 Ph/Fax 03 58317794
e-mail

Individuals and Families

Name(s)
Address
P/Code
Phone (Home)
Phone (Work)
Occupation

Organisations

Name
Address
P/Code
Phone
Nominated Rep

Areas Of Interest

Membership Declaration

I / We agree to abide by the aims and objectives of the Goulburn Valley Environment Group as detailed on the reverse side of this membership form.

Signed:

Cost of membership

Individual	$20
Family	$25
Concession (Pensioner, student)	$10
Organisation. $35.$50..$100..other	$
Donation	$
Total Amount Enclosed	$

Please note: All donations over $2.00 are now tax -deductible (applies to donations only, not membership fees.)

All payments payable to the Goulburn Valley Environment Group. All mail to PO Box 2073 Shepparton, Vic 3632 Thank you.

Aims of GVEG

1. To promote environmental awareness and responsibility within the Goulburn Valley community.
2. To help bring about changes in the way our society lives and interacts with the environment that will bring us into harmony with the local, and global environment; and that will promote a both a sustainable environment and sustainable society.
3. To provide a creative and positive outlet for the energies of people concerned about the environment in the Goulburn Valley region.