Please print and mail to address at bottom of form:

Maiden Creek Watershed Association

   “To promote awareness of the Maiden Creek Watershed as a valuable resource through community education and citizen water quality monitoring”

 

YES, I want to become a member of the Maiden Creek Watershed Association.  Please enroll me as a member and use my dues to help preserve our watershed.

I enclose one year’s dues as a:  

                       New [  ]   Renewal [  ]

Individual $10.00 [  ]   Senior or student $5.00 [  ]Family $15.00[  ] Water quality monitor $5.00[  ] Lifetime $100.00 [  ]       

Business    $100.00    [  ]       Other [  ] _________

[   ]  I WANT TO BE AN ACTIVE VOLUNTEER.      Let me know how I can help

Name (please print) ____________________________________

Address ____________________________________

City/State/Zip ____________________________________

Phone ___________E-mail ______________

Make check payable to MCWA and mail to PO Box 133, Kempton, PA 19529