Natural History Society

Members & Membership

Outback Gondwana Foundation

CEBNHS Membership Online Application Form

Full Name: *Required

Address: *Required

Suburb: *Required

State: *Required

Post Code: *Required

Telephone Number: *Required

Email Address: *Required

I wish to register as a member of the Cooper/Eromanga Basin Natural History Society Inc. to show my support for the work this Society is endeavouring to achieve.
*Required

I wish to be notified by email of meeting notices for Cooper/Eromanga Basin Natural History Society Inc.
*Required

I wish to receive by email the annual "Outback Godwana Newsletter"
*Required

What are your natural history interests?
(e.g. fossils, insects, birds, plants, reptiles mammals/marsupials, geology, cultural heritage, general interest etc) *Required

Printable Membership Form

CEBNHS Membership Application Form
Please print this page, and fill it in using block capitals.
Post to: The Secretary, CEBNHS Inc., PO Box 20, Eromanga, QLD

Download Membership Form

Our Membership form utilises a file format called PDF. This format was developed by Adobe Systems and is used widely on the Internet for user manuals, forms, etc. In order to view these files, you will need to download a copy of Adobe Reader from Adobe Systems' web site.

Download Adobe Reader