MEMBERSHIP FORM
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$20 | Individual | ||||||
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30 | Family | ||||||
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$50 | Friend | ||||||
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$100 | Patron | ||||||
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$250 and above | Donor | ||||||
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Please include me in the FLFR e-mail netork for outings and Locust Fork river alerts |
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Call me to help with FLFR activities | |||||||
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Please dedicate this contribution of $______________ to the Rosa Mine Watch Dog Committee | |||||||
Name____________________________________________________________________________________
Address_________________________________________________________________________________
City, State and Zip_____________________________________________________________________
Phone number___________________________________________________________________________________
Email address ___________________________________________________________________________________
Please print, fill out the form and mail with a check to:
Friends of the Locust Fork River
P. O. Box 245
Hayden, Alabama 35079
Phone: (205) 466-3858
All contributions are tax deductible and gratefully appreciated!