Batsto Friends Membership Application (Rev-4)

Name: _____________________________________

Address: ___________________________________

City: ______________________________________

State: _____________________________________

Zip: _____________E-mail_____________________

I wish to support the efforts of the Batsto Citizens Committee, Inc. in carrying out the Batsto mission of presenting, interpreting, teaching, and providing special events by becoming a (please fill out your selection):

Note:

The Schedule shown below is effective January 1, 2003 for existing members and immediately for new members

(includes subscription to newsletter & any special mailings)

(Includes subscription to newsletter & special mailings

(Special recognition certificate suitable for framing)

My Check is enclosed for: $_________

Donations are tax deductible to the extent permitted by law

PLEASE MAKE CHECKS PAYABLE TO:

Batsto Citizens Committee, Inc.

Send check and application to: Lynn Hannigan, Treasurer

Wharton State Forest

31 Batsto Road

Hammonton, NJ 08037