Name_______________________________________

Address_____________________________________

____________________________________________

Telephone:___________________________________

Fax:_________________________________________

Email:________________________________________

Membership fees: Individual $20

Family $30

Unwaged $10

Donation:__________________

Please make cheque out to Friends of Quarantine Station.

Post form to Friends of Quarantine Station,

P O Box 577, Balgowlah, NSW 2093

For further information contact: Sue Sacker 9948 1614

Nina Burridge 9949 4112

Heather Formaini 9818 8383

Or visit the Manly Environment Centre, 41 Belgrave Street, Manly.