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M E M B E R S H I P   A P P L I C A T I O N

Date of application: _____________________

Name:_______________________________

Address:________________________________________________

Home phone:_________________________

Business phone:_________________________

Mobile phone:__________________________

E-mail:__________________________________

Membership (check one) :  

__ Individual                                   $15                   __ Family           $25
__Senior (60+ years)                   $10                   __Student         $10
__Business/Organization            $25                   __ Life               $1,000

Donations (check one):   __ In memory of            __ In honor of
__ Acknowledgment for memory/honor donation to be sent to:
Name:_________________________________

Full address:__________________________________________________

Non-profit status:
The Caddo Lake National Wildlife Refuge Friends Group is a 501c3 non-profit organization. Your gift is tax-deductible to the extent allowed by law.

Checks:                                               Mail:
Make checks payable to                          Friends of Caddo Lake NWR
Friends of Caddo Lake NWR                   P.O. Box 230, Karnack, TX 75661

Let us know about your interests and abilities that relate to the activities of the Refuge (check all that apply) …

Interests
___ Education (youth)
___ Education (adults)
___ Birding
___ Fishing/Hunting
___ Photography
___ Publication/Website content
___ Visitors Center
___ Project/event committee
___ Biological survey work
___ Habitat restoration
___ Fundraising
___ Trails/wildlife observation
___ Plants
___ Other (specify)

Abilities
___ Computer skills
___ Member Communication
___ Fundraising
___ Budget and finance
___ Grant writing
___ Special events planning
___ Outdoor work projects
___ Photography
___ Art/graphic design
___ Membership
___ Leadership
___ Other (specify)
rev. 01/25/09