NAP- Neighborhood Alliance of Pawtucket

Join the Friends of the Moshassuck- official Watershed Council

Feb 21, 2009

Friends of the Moshassuck
MEMBERSHIP APPLICATION
Thanks for joining the FOTM, by simply printing out this single page, fill in your information, with your check made out to FOTM , 35 6th St, Prov, RI 02906. Thank you for your interest and support. We will provide you a welcome member package and a board member will be in touch with you to discuss your specific interests and desired participation level. Feel free to be in touch on the web, news & in person with our efforts in watershed enjoyment, protection and restoration at your convenience. Thank you again for joining and please share with others!!!

Individual Membership

_____ $15 Student/Senior

_____ $25 Individual/Family

_____ $35 Conserver

_____ $50 Steward
March 7th is the 2009 annual meeting or join us in April for the annual tree plantings and the KleenUp on the Moshassuck
_____$100 Restorer

Name(s): ____________________________________________________

Street address: _____________________________________________

City/State/Zip: _______________________________________________

Telephone: _______________________ cell _____________________

E-mail: ____________________________________________________

Special interest areas to volunteer ___water testing steward ___ PR ________education ?…?…?…?…?…?…?…other?…?…?…?…?…?…?…?…?…?…?…?…?…?…?…?…?…?…?…?…?…?…?…?…?…?…?…?…?…?…?…?…?….

Where there is a will there is a way for your concerns & your interests to be carried out even after your departure! ?…?…?…?…?…Check here for more info!

Organizational Membership

_____ $50 Corporate Conserver

_____ $75 Corporate Steward

_____$100 Corporate Restorer

_____$250 Platinum River Supporter

Organization: _______________________________________________

Street address: ______________________________________________

City/State/Zip: _______________________________________________

Telephone: ______________________ Fax: _______________________

E-mail: _____________________________________________________

Website: ___________________________________________________

President or Chairperson: ______________________________________

Designated Representative: ________________________________________


Special Interest areas for your organization ________________________________________________________________________________________________________________________________________________