(Print this form out and mail it in along with your membership dues. Return to Home Page )
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Name: |
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Address: |
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Zip Code: |
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Telephone: |
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| Please select: | ___ Adult ($15) ___ Youth ($10) ___ Sponsor ($75) ___ Individual Lifetime ($200) |
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| Are you a new member: ___ Yes ___ No | |||
Please make your check payable to the DUDLEY POND ASSOCIATION
and mail it to:
P.O. Box 5114, Wayland, MA 01778-4137
Your donation to the Dudley Pond Association is tax-deductible to the full extent provided by law.
Please indicate which events you or your family would be interested in volunteering for: |
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| ____ | Dudley Pond Run, Walk and Kids Run | ____ | Meet your neighbor potluck | |
| ____ | Pond Clean Up - Spring | ____ | Research and Education Committee | |
| ____ | Pond Clean Up - Fall | ____ | Scuba Diving Weed Abatement | |
| ____ | Telephone calling for meeting | ____ | Serving as a Board Officer | |
| ____ | Regatta | ____ | Other: ________________________ | |
| ____ | Boat Tour/Food Tasting | ____ | All of the above | |
I would like to make a Donation to the
DPA Endowment Fund
___ Yes ___ No Amount:
$________________