Membership renewal

We value your membership of Fungimap. Thanks for renewing!

Name/s*
First Last name/name of organisation
Address (only required if changed since the last renewal)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Annual membership
- Full member - $55
- Concessional member - $45
- Household members - $65
- Group & library member - $55
Membership fees are inclusive of GST
Donate to help us in our work
- Donate $20
- Donate $50
- Donate $100
- Donate "Pay it Forward" membership for someone experiencing hardship
Total
$ 0.00
Paying by cheque
- I opt to pay by cheque
Please make your cheque payable to Fungimap Inc and send it to: Fungimap PO Box 2560 Normanville SA 5204 Include your name and any changes to your contact details. (If paying by cheque DO NOT USE the SUBMIT button below.)