Pascowildlife, Inc.

Facilitating the implementation and success of a Pasco County ENVIRONMENTAL LAND ACQUISITION AND MANAGEMENT PROGRAM (ELAMP)

MEMBERSHIP APPLICATION

PLEASE PRINT THIS APPLICATION, FILL IT OUT AND MAIL IT WITH YOUR MEMBERSHIP FEE TO pascowildife, Inc. SEE ADDRESS BELOW.

Your membership dues will be used to produce a semi-annual newsletter, which will be mailed to you. Your dues will also be used to produce an annual meeting, create printed and audio-visual materials for public education seminars and workshops, for website maintenance and development, and for general postage, mailing and office materials.  Your e-mail address will be added to our e-mail announcement list so that you may receive updates from pascowildlife,Inc.

MEMBERSHIP FEES

 ____ $10.00 individual             ____ $25.00 family

____ $50.00 community group or business

INDIVIDUAL OR CONTACT NAME: ___________________

GROUP NAME OR BUSINESS: _______________________

MAILING ADDRESS: ______________________________

______________________________________________

HOME PHONE: ___________ WORK  PHONE: __________

E-MAIL ADDRESS: __________________________

Your support will help Pascowildlife, Inc. continue to make Pasco a better place to live.  Any additional donation would be appreciated.  Will you include an additional donation with your membership?

$25.00 ____ $50.00 ____$100.00    or $ _____

Make your check payable to Pascowildlive, Inc. (sorry, no credit cards). Please mail this entire form to Pascowildlife, Inc. at 25605 Apple Blossom Lane, Wesley Chapel, FL  33544.  For additional information please call (813) 907-0200.

Pascowildlife, Inc. is a non-profit, 501C-3 corporation. All dues and contributions are tax deductible.