Membership Form
To become a member print out this form. Send the completed form with your check made payable to "Huron River Watershed Council" to HRWC, 1100 N. Main Street, Suite 210, Ann Arbor, MI 48104. [Contributions are tax deductible to the extent allowed by law.]

YES! I want to support the Huron River Watershed Council's efforts to
inspire attitudes and behaviors that protect the Huron River!

INDIVIDUAL MEMBERSHIP: Here is my annual membership contribution of:
                [   ]   $30 Basic Supporting Member
                [   ]   $50 Friend
                [   ] $100 Steward
                [   ] $250 Mayfly
                [   ] $500 Blue Heron
                [   ] $1000 Green Heron
                [   ] $2500 Smallmouth Bass
                [   ] $5000 Mink
                [   ] Other $_____

Name: ___________________________________________________________________
.
Address: _________________________________________________________________
.
             _________________________________________________________________
.
Home Phone Number: _______________________________________________________
.
E-mail:_________________________________________________________________

NOTE: ___ check here if this is a gift membership and put your name and address on the back of this form.

BUSINESS PARTNERSHIP PROGRAM: Here is my annual membership contribution of:
                [   ]   $300 Basic Member
                [   ]   $500 Supporter
                [   ] $1000 Friend
                [   ] $1500 Steward
                [   ] $2000 Watershed Leader
                [   ] $5000 Benefactor
                [   ] Other $_____

Business Partner Name: ___________________________________________________________
.
Contact Person Name: _____________________________________________________
.
Address:_________________________________________________________________
.
             _________________________________________________________________
.
Business Phone Number: ____________________________________________________

Thank you for your generous support!

For information about government membership, contact Laura Rubin, our Executive Director, at 734/769-5123.

Back to Membership page or Home page.

Copyright © 2006 The Huron River Watershed Council, All Rights Reserved.
Last Updated: January 2006.