EAWLS - renewal form

Payments by cheque are sent to the addresses on your right, and should be made payable to the EAST AFRICAN WILD LIFE SOCIETY. Please insert your details and print the form. For online payments using your credit card please use our secure page

Personal Information

Name:

Address:

Post/ ZIP Code:

Number

Tel. No.

E-mail Address:

Membership Information

Please choose your membership type:

Individual member Corporate member

Please choose your level of membership:

Regular Donor

Addresses

For USA - EAWLS c/o Peter Bakker; 175 West 79th Street, #10E; NEW YORK, NY 10024; USA

For Europe - EAWLS, c/o Matt Rice, Fauna & Flora International (FFI); Great Eastern House; Tension Road; CAMBRIDGE CB1 2DT; UK

For Australia - EAWLS, c/o Trevor Fernandes, Wildlife Safaris - Australia 213 Railway Road Subiaco WA 6008, Australia