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Membership Form

1. Your Contact Information

Name:
Address:
Phone:
Day: Evening:
Email:

I prefer to be contacted:
By mail By e-mail By Day Phone By Evening Phone

2. Your Membership Level

$25 - Individual
$40 - Family
$75 - Friend
$100 - Friend
$200 - Steward
$

3. Your Areas of Interest

Educational Outreach Fundraising events Tabling at events Workdays, Stream clean-up Plant, Nature & Bird hikes
ECWA Family Explorers Club Trail building & Maintenance Invasive plant removal Neighborhood Network Membership
Rain gardens Cisterns Water Quality Monitoring
Other
Notify me of all events

Would you like to be added to our e-newsletter?

Yes   No


Your Neighborhood:

Which are your favorite ECWA preserves?

17 Acre Wood Beaver Marsh Pearl Mill Glennstone Veasey Farm

For which events would you
like to be notified?

Nature hikes Family Explorers Club Stream clean-up Workdays

Other

4. Print and Mail this Form

Return this form along with your check to:
Ellerbe Creek Watershed Association
P.O. Box 2679
Durham, NC  27715-2679

Financial information about this organization and a copy of its license are available from the State Solicitation Licensing Section at 1-888-830-4989.  The license is not an endorsement by the State.