Membership Form
“Pratishtha”, Bharat Nagar, Akoli Road , Near Sai Nagar, Amravati
Tel: (O) 91-721-2511966 (M) 09422157123
Email: satpuda_found@yahoo.com Website: http://www.satpuda.org
Today’s ecological crisis is challenging us to look at new notions of development and humanity. Satpuda Foundation appeals to you to become a SATPUDA RANGER by filling up the form below and join us in our task of conserving, protecting and restoring the world’s largest contiguous tiger habitat, the Satpudas.

No matter what our background or profession, we can all play a role. A Satpuda Ranger is one who cares passionately for forests and wildlife and is thus a part of Satpuda Foundation family.
Name:
Address:
 
 
 
City: Pin:
Date of Birth:  
Phone No. :
Email Id :
Profession:  
 
Student
Service
Professional
Business
Others (Please Specify):
Marital Status : Single Married
Please fill up the following questionnaire to help us know you better!
1. How did you come to know about Satpuda Foundation?
 
Website
Newspaper
TV Channel
Existing Member
Specify:
Others (Please Specify):
2. What attracted you towards Satpuda Foundation?
 
WildLife Conservation Activities
Research Activities
Kids For Tiger Programmesl
Bird Watching Trails
3. In which field of wildlife do you have a special interest?
 
Bird Watching
Nature Education
Hardcore conservation issues (Anti-poaching, sustainable development issues, etc.)
Wildlife Photography
Wildlife Research
Wildlife Journalism
Wildlife and the Law
4. What kind of contribution(s) would you like to make for Wildlife Conservation through Satpuda Foundation?
 
Specialized Activity (Nature Education, Advocacy, Journalism, Medical, Forest Management, etc)
Field Work (Nature Education, conservation, research, surveys, EIA studies, in forests and villages)
Fund raising
Membership campaign
Administrative activities
Others (Please Specify):
   
My Contribution amount Rs.
DD / Cheque No.
Drawn on Bank
Branch
Please draw the DD/Cheque in favour of Satpuda Foundation payable at Amravati & send this form along with DD/Cheque to the following address. “Pratishtha”, Bharat Nagar, Akoli Road , Near Sai Nagar, Amravati – 444607, Maharashtra .