Membership Form

ENVIRONMENT TRUST OF KENYA

P.O. Box 90193 80100

Tel No. (041) 222503

Fax: (041) 311789

Email: etk_ke@hotmail.com

NAME:……………………………………

COMPANY:………………………………

ADDRESS:……………………………….

TEL NO:………………………………….

FAX NO:………………………………….  

SUBSCRIPTION RATES

 Membership       Overseas   Local     Total

Type                   US$               Kshs        Amt

 Corporate            750.00     5, 000.00  ……….

Joining Fee        75.00         500.00 ………..

Individual         45.00           300.00  ……….

Joining Fee        15.00           200.00  ……….

Family                50.00           450.00  ……….

Joining Fee        15.00           200.00  ……….

Under 18            20.00           200.00  ……….

Joining Fee        10.00           100.00  ……….

Institutions/        50.00           500.00  ……….

Schools              20.00           300.00  ……….

If you would like to give a donation   you can support our projects:

ü       Environmental Workshop      ………

ü       Clean Up Mombasa      ………

ü       Tree Nursery Projects      ………

ü       Drought Relief Project      ………

ü       OTHER                  ………

TOTAL DONATION                   ………

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