Cooks Creek Watershed Association Membership Form

Please fill out the form below, print and mail with your payment.
(At this time we cannot accept online payments).

Sherry Brodhead, Membership Coordinator
Cooks Creek Watershed Association
P.O. Box 45
Springtown, PA 18081

Membership is tax deductible. Of course, tax deductible donations are always accepted!!

   Name:   
Address:  
  Phone:  
  Email:     
     
 (Email is an economical way to efficiently notify you of events. Please share
it with us. We will not share this information with any other organization.)
    Occupation (optional):   
Interest/skills/expertise:   
Ideas and Comments (continue on back):

   
Interests: 
            Newsletter   Help with Events        Website   Roadside Cleanup   
    Providing Speakers Stream Studies   Weekend Seminars 
Maintaining Open Space       Fund Raising
We are particularly interested in volunteers willing to participate in a watershed species 
inventory program and assistance with Stream Studies. Interested 


 Individual   $15.00/year      $
 Family       $25.00/year      $
 Donation                      $
                    TOTAL      $               

                                              

Thank you for joining! - Sherry Brodhead, membership chairman

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