Membership/Donation Form

YES, I/We would like to support the Friends with:

—– $5  An individual

___ $10 a  family

—– $25  A business / organization

—– $20  Classroom / clubs 

___ $100 Individual lifetime

 

* All members receive a membership card & those who donate $10 & up will also receive a Friends window decal!

 

        NO, I don’t want to belong to the Friends right now, but I would like to donate: $_________

Please make checks payable to:

Friends of Robert Moses State Park Nature Center, Inc.                                      

 

I will also volunteer for Friends by:

 

—– Serving on the Board of

       Directors

—– Chairing a committee

—– Serving on a committee.

—– Helping as needed.

 

Name: ———————————–-

 

Address: ——————————–-

 

City/State/Zip:————————–-

 

Phone: ———————————–

 

E-mail: ———————————–

Thank you for your support.

Membership donations for 2005 can be tax deductible, please call 315-764-5630 for more information .