Text Box: Friends of Opossum Lake Conservancy (FOLC) Membership Application and Dues Schedule Year 2008

Please Fill Out the following information, print the form, and then send to the address listed below. ( * - required)

 
First Name:  *  Last Name: * 
Address:       *

Address:    

City:           * State:   * Zip: *
Phone:       
eMail:         *

Where did you hear about the lake?

  Yes!  I/We want to receive future mailings and newsletters!

Membership Dues Categories (One Year through 12/31/08)
Membership Dues Categories (One Year through 12/31/08)
Individual    $10
Household    $15
Student   $1
Other   $_______
Repair the Dam Fund - one time contribution
$50 Sponsor
$100 Benefactor    
$250 Corporate    
Other   $_______
  Total: $_______

NEW!

Take advantage of a Lifetime Membership!

__ Family:  $275

__ Senior Citizen: $150

 
 

Contributions of $50 or more will include a “free” 2008 membership

Please make checks payable to “Friends of Opossum Lake Conservancy” and mail to:
Friends of Opossum Lake Conservancy
1205 Easy Road
Carlisle, PA 17015

Approved by the Internal Revenue Service as a 501(c)3 Charitable Tax Exempt Organization.(Federal EIN Number 03-586326) A Pa. Non Profit Corporation. A receipt will be provided for your records.