Friends of Pillsbury State Park, Inc.
P.O. Box 415
Washington NH 03280
NAME: ________________________________________
If family membership,
list names of family members:
_______________________________________
_______________________________________
_______________________________________
MAILING ADDRESS:
Street: _________________________________
City: ___________________________________
State: _____________
Zip code: ____________
Telephone: _________________________________
Email address: ______________________________
Please check the type of membership desired:
___ Individual $10.00
___ Family $15.00
___ Organization $50.00
___ Sponsor $100.00
___ Life $250.00
Donation to Allyn
and Rose Foote Conservation Educational Fund:
$ ________
Total Enclosed: $_________
NOTE: Your donation to the Allyn and Rose Foote Fund is TAX-DEDUCTIBLE.
[last updated: 5/14/2006 21:03]