MEMBERSHIP and DONATION FORM

 
Yes, I want to help the Friends of the Presumpscot River!
 
As a new member I will be helping to support the work the Friends of the Presumpscot river does on the river, bringing back native fisheries and protecting shorelands.  I will also receive a poster about the Presumpscot River and their newsletter The Presumpscot News.

Anyone can donate without becoming a member.

INSTRUCTIONS:  Please complete this form and mail it with your check to:  Friends of the Presumpscot River, PO Box 223, South Windham, ME 04082.

Membership Dues through March 15, 2004
 Donation Levels
Please check one:
 Please check one:
__________ $5      Students & Seniors
 _____  $35     River Supporter
__________  $10   Individual      _____  $50     River Sustainer
__________  $20   Family)  ______   How many in family? _____  $100   River Steward

_____  $250   River Guardian
New Members, Please consider making a donation too.
 _____  $500   River Conservationist

$______  Other Donation

Donations of any amount are greatly appreciated!  This is a good way to provide additional support or to send a contribution without joining. We especially need donations now to continue our work restoring the river.

MEMBER INFORMATION:

FIRST NAME:  _____________________________    LAST NAME:  _____________________________

ADDRESS:  _____________________________________________________________________________

TOWN:  _____________________________,   ST:  _______    ZIP:  _________________

PHONE #:  ___________________________

E-MAIL:  ____________________________