Membership Forms

Individual Membership Form: 

Contact us at (204) 947-6511 or info@mbeconetwork.org, or fill out registration form below.

Name *
Street *
City *
Province
Postal Code *
Phone Number *
E-mail *
Preference for Eco-Journal (Paper or Electronic) *
 

* Indicates a required field

 

Please send a cheque for $30 payable to Manitoba Eco-Network to:
Manitoba Eco-Network
3-303 Portage Ave.
Winnipeg, MB R3B 2B4

Or pay online at CanadaHelps.org. Just choose Individual Membership as the fund designation.

 

 

Group Membership Form:

Contact us at (204) 947-6511 or info@mbeconetwork.org, or fill out registration form below.
Group memberships are subject to approval by our board of directors. Group members must be non-profit, non-governmental groups, that have as one of their objectives the enhancement or furthering of environmental quality, protecting the environment or environmental education.

Name of Organization *
Street *
City *
Province
Postal Code *
Phone Number *
Fax Number
E-mail (include key staff/board member emails, separated by a comma) *
Contact Name *
Website
Briefly describe your environmental focus/mandate *
Number of Members *
Preference for Eco-Journal (Paper or Electronic) *
 

* Indicates a required field

 

Please send a cheque for $50 payable to Manitoba Eco-Network to:
Manitoba Eco-Network
3-303 Portage Ave.
Winnipeg, MB R3B 2B4

Group membership fees are due annually and normally renewable in April.