Friends of Read

Membership Form

 

 

Please check one:

O  New Membership

O  Renewal

 

Please select your membership level:

     O  Ruby-throated Hummingbird               $20

     O  Diamond-back Terrapin                      $50

     O  Marsh Hawk                                       $100

     O  Great Blue Heron                                $250

 

Are you interested in volunteering:

O  Yes

O  No

 

Please make checks payable to Friends of Read Wildlife Sanctuary, Inc.

Mail to:        PO Box 548

                   Rye, NY 10580

 

Name:_____________________________________________________

 

Address:___________________________________________________

 

__________________________________________________________

 

Phone:_____________________________________________________

 

Email Address:______________________________________________

 

Car License Plate #:__________________________________________