Prescott Creeks-Membership form

Prescott Creeks
Membership Form

Yes, I want to help Prescott Creeks protect, restore and celebrate Prescott's creeks by joining in one of the following areas:

Membership Categories (Please select one)

	$1000 Lifetime Member		Date
	$100 Corporate (Businesses & For-profit entities)		Name of New Member
	$50 Institutional (Non-profit, educational & membership organizations)		Address
	$25 Individual & Family		City/State/Zip
	Please email me information about volunteer opportunities		Telephone
	Please send me information about serving on the Board of Directors		Email

In addition to my membership dues, I am making a tax-deductible donation of $ * to Prescott Creeks.

* All contributions, aside from membership dues, are tax-deductible and greatly appreciated.

Please type the information in the form, print it out and mail it with your check (payable to Prescott Creeks) to:

Prescott Creeks
P.O. Box 3004
Prescott, Arizona 86302