Cayuga Lake Watershed Network Membership Form

Print out form and send to:

Cayuga Lake Watershed Network
P.O. Box 303
Interlaken, NY 14847

   

YES, I want to do my part to protect the future of Cayuga Lake and its watershed!

 

I’m renewing my annual membership renewal in the Cayuga Lake Watershed Network with my enclosed contribution as indicated below.

 

I’m joining the Cayuga Lake Watershed Network with my enclosed contribution.

 

$20  $25  $35  $50  $100  Other $______

Please be as generous as you possibly can. Your contributions are tax deductible. Thank you!

Name_____________________________________________________________________

Address___________________________________________________________________

County______________ Phone (____)_________ E-mail___________________________

YES, I want to help the Network membership grow! Here are name(s) of potential members for you to contact.

You can use my name when you contact them.

Potential Member

Name_____________________________________________________________________

Address___________________________________________________________________

County______________ Phone (____)_________ E-mail___________________________