Membership Application
Friends of the North Fork & White Rivers
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Name (please print)
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Address
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City, State, Zip
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Phone (daytime)
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Phone (Evening)
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E-Mail
Make checks payable to:
Friends of the North Fork & White Rivers
PO Box 61, Mountain Home, AR 62634
Membership Levels - (Membership dues and any donations are tax-deductible)
□ Individual Annual Membership - $25.00
□ Family Annual Membership - $35.00
□ Partnership Annual Membership - $100.00
□ Life Membership - $500.00
□ Business/Organizational Membership - $50.00
□ Donation ($________) - Donations are appreciated!
White River Sections for Stream Teams:
□ Dam / Wildcat Access □ Cotter / Buffalo City □ Buffalo City / Calico Rock □ Calico Rock / Sylamore □ Sylamore / Guion □ Guion / Batesville
□ North Fork River
□ I am willing to volunteer some time
Signature (required) Date:
