MEMBERSHIP APPLICATION
Phone #:
________________________________ E-mail:
________________________________
Membership
Categories
Membership $50
Contributing $75
Business
$100
Supporting $150
Sustaining $250
Benefactor $750 +
Amount
enclosed $_____________ for annual dues. (Check or money order)
Do you own land
in the
Catskill Region? Yes
_____ No_____
Property address:
___________________________________________________
_______________________________________________
Telephone #:
_____________________ County: _________________
Total acres:
__________Forested acres: __________ Pond Y / N Stream Y / N River Y / N
If you have more than one parcel, please add the information on the other side of this application.
All membership dues and donations are fully tax dedcutible to the extent allowed by law. A copy of the most recent financial statement filed with the York Department of State is available upon request.