Mail in form:

Please mail to:

 Friends of Pocosin Lakes NWR

P.O.  Box  222

Columbia,  NC  27925

 

FRIENDS OF POCOSIN LAKES NATIONAL WILDLIFE REFUGE

 

Name _____________________________________________________________

Address ___________________________________________________________

__________________________________________________________________

Phone _____________________________________________________________

E-mail ____________________________________________________________

I would like to become a member

___ Student $10               ___ Family $25              ___ Donor $200

___ Regular $15               ___ Wildlife $50            ___ Corporate $500

___ Other     $__________________

___ Volunteer Hours, assist with Friends and Refuge projects and events

I would like to make a donation of

$______________ given_______________________________________

___________________________________________________________

___________________________________________________________

_____ I would like to be on the e-mail list to receive information about Friends and Refuge events and projects

 

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