MEMBERSHIP APPLICATION




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Your gift will help FBP work toward public acquisition of the Wildish
confluence lands and restore native ecosystems in the Mt. Pisgah area.

_____	Enroll me as a member and protect Buford Park & Mt. Pisgah's natural riches. 
		
_____ $500 Benefactor	 _____ $100 Contribitor	     _____ $30 Individual

_____ $350 Patron	 _____ $50  Supporter        _____ $20 Living lightly

_____ $250 Donor       _____ $40  Family       Mountain Sponsor!

_____   I'm already a member and am renewing my membership or making an additional contribution.
 	
_____  I don't wish to be a member now, but enclosed is a contribution of $_____.

_____	Please don't acknowledge my support in your newsletter.

_____ Please send a donation receipt.
			
Name_____________________________________
 
Organization (if any)__________________________

Street____________________________________________________

City______________________________State____Zip_____________Home Phone_________________  

Work Phone___________________  Email__________________


Send this form and check payable to: "Friends of Buford Park & Mt. Pisgah," P.O. Box 5266, Eugene, OR 97405
Thank you for your support!