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:
"Friends of the North Fork and White Rivers, Inc." is an Arkansas non-profit organization 501(c)(3) devoted to creating an on-going dialogue where individuals, groups, and government agencies can work together to restore, enhance and conserve these beautiful rivers.
Print this page. Complete the Form and Mail to:
Friends of the North Fork and White Rivers
PO Box 61, Mountain Home, AR 62634
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