Membership Form 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 youlike 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.