Pender Islands Conservancy Association Membership Form - 2015

Please print this page, add your information and include with cheque.

We invite you to share your skills, time and energy to help PICA preserve our fragile island environment.


Membership type _____________ Donation ______________ Date _______________

Individual $10, Couple or family $15, Corporate $100.   Receipts issued for amounts over $10.

Name:

Mailing Address:

Postal Code: 

Phone:

Email:

For seasonal Penderites:

Alternate Address (off-island): 

City and Postal Code: 

Phone: 

e-mail: 

I'm interested in helping with the following committees:

  • Staffing the information table at the Farmer’s Market
  • PICA presentations and speakers
  • Broom pulls and Beach Clean Ups
  • Stewardship including Medicine Beach, Magic Lake and Covenants
  • Writing educational materials, articles for the website and PICA newsletter
  • Hope Bay Stream Salmon project
  • Forage Fish Monitoring project
  • Event planning and publicity
  • ___________________________


How can we improve PICA?  Comments, suggestions, ideas, feedback – we want to hear from you.  Please use the back of this form to give us your ideas.  Thank you!

Please put your completed membership form with your cheque in the PICA folder in the Community Box at Pender Island Realty office or send the form to  PICA Membership Secretary  PO Box 52  Pender Island  V0N 2M0

PICA e-mail: info@penderconservancy.org