RIVERS ALLIANCE OF CONNECTICUT

Membership Form

Print this page, fill it out, and send it in.

Yes! I’d like to join the Rivers Alliance and help protect the rivers and streams of Connecticut. I enclose my tax-deductible contribution gift.

Individual or Family $35
Patron $50
Non-profit Organization $50
Sponsor $100
Business or Corporation $250
Additional Donation $____

Total Enclosed $____

Name__________________________________________________________
Address ________________________________________________________
Phone (_____)_____________________ FAX (_____)___________________
Email ____________________________

___ Yes, I’d like to volunteer to help the Rivers alliance protect rivers. My particular skills/interests are: _______________________________________________________________
_______________________________________________________________

Please make checks out to the Rivers Alliance of Connecticut, Inc., and mail to:

Rivers Alliance of Connecticut, Inc.
PO Box 1797
7 West Street, 3rd Floor
Litchfield, CT 06759
 

phone: 860-361-9349        FAX: (860) 361-9341
rivers@riversalliance.org
   www.riversalliance.org 

 

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