Name:__________________________________________________________

Address:________________________________________________________

Phone:__________________________________________________________

Email___________________________________________________________

Yes! I would like to join the French River Connection

Annual Household Memberships

_______$20.00..........................Ally

_______$50.00..........................Partner

_______$100.00........................Patron

_______$250.00........................Benefactor

_______$500.00 or more..........Visionary

Annual Business Memberships

_______$50.00......................... Friend

_______$250.00........................Advocate

_______$1000.00 or more........Champion

I would like participate in

_______River Cleanup

_______Trails

_______Water Quality Monitoring

_______Nature projects

_______Membership and Fundraising

_______Other (specify)

Please print this form and send it with your check to:

French River Connection

46 Brookside Avenue

Webster MA 01570

The French River Connection is exempt from federal taxes under section  501(c)(3) of the internal revenue code. Your contribution is tax-deductible under section 170 of the code.

You will receive a beautiful French River Screensaver in the mail.

Thank you!

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