WOOD PAWCATUCK
WATERSHED ASSOCIATION – ANNUAL MEMBERSHIP APPLICATION
Name(s):
__________________________________________________________________________________________
Address: __________________________________________________________________________________________
Phone/Email:________________________________________________________________________________
Individual $25 ____ Family $40 ____ Contributor
$50 ____ Supporter $100 ____ Sponsor $250 ____
Patron
$500____ Benefactor $1000 ____
In addition to my dues, I am enclosing an extra
contribution to support WPWA programs:
$________
Total enclosed: $____________
Credit card MC___ VISA___ AMEX____ Number________________________ Expiration Date_____________
Signature of Cardholder________________________________________________________________________
Interested
in volunteering? Check off your areas of
interest below.
Water Quality Monitoring ____
Macro invertebrate (insect) collection _____
Brook trout habitat studies ____
Educational programs ____
Kayak instruction ____
Fishing instruction ____
Fly fishing / fly tying ____
River clearing (blowdowns) ____
Earth Day activities ____
River access cleanups____
Opening day litter awareness ____
Walks and hikes _____
Fundraising ____
Event planning _____
Office help ____
Bulk mailings ____
Board of Trustees _____
Other ideas? ___________________________________________________________________________
Please
mail form with your payment to:
WPWA, 203B Arcadia Road Hope Valley
All but $5.00 of your membership dues is
tax deductible.
THANK YOU – WE
APPRECIATE YOUR SUPPORT!!