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D & R CANAL WATCH 2003-04 MEMBERSHIP FORM
Please print this form, fill it out and mail it in
Non-profit organization $5 ___ Individual $15 ___ Family $25 ___ $50 ___ $100 ___ Other ___
Renewal? _____ New membership? _____
Name _________________________________________________________________________
Organization (if applicable)_______________________________________________________
Address ________________________________________________________________________
City, State, Zip __________________________________________
Phone _______________________ Email address
_____________________________________
From now on our newsletters will be posted on the Canal Watch Website www.canalwatch.org and notices sent to members for whom we have email addresses.
Do you wish to continue to receive the newsletter via U. S. Mail? Yes ____ No ____
Volunteers are needed to lead walks/ trips or who have computer, photography, or design skills.
May we call on you? Yes ___ No ___ Try me ____ (circle your skill)
D & R Canal Watch is a non-profit 501(c)3 organization.
Please send this form and your check payable to D & R Canal Watch to:
Linda J. Barth, Membership Chairman, D & R Canal Watch, P.O. Box 2, Rocky Hill, NJ 08553
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