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The Friends of the
Rio Grande Nature Center
Membership Application Form

For phone payment, call 344-7240

[ ] I am renewing my membership
__ Enclosed is  my check
__ Please charge my credit card
     ___ Visa       ___ MasterCard
     Card #:  __ __ __ __   __ __ __ __   __ __ __ __    __ __ __ __
      Expiration Date: ____ / ____
     Amount:________________
     Signature:__________________________________

[ ] Please send information about being a volunteer

[ ] I will get Bosque Tracks online (available soon)

[ ] Enclosed is my donation for $_______________***

Name______________________________________

Address____________________________________

City, State, Zip______________________________

Phone, Day______________ Evening_____________

Email address: _______________________________

Membership Categories

Annual Dues
[ ] Special* $15
[ ] Regular ** $30
[ ] Donor $60
[ ] Sponsor $100
[ ] Sustaining $250
[ ] Benefactor $500
[ ] Life Member $1,000

       * Senior (62+), Student (23 & under), Disabled, Teacher
** Individual, Family

*** The Friends of the Rio Grande Nature Center is a non-profit 501(c)3 corporation. If your company will match your donation, please enclose a matching form.

Thank you for helping FRGNC
Preserve, Protect, and Educate

Office Use Only
Date Rec'd _______________          Receipt #________________         Check #_________________
Amount __________________          Payment Method ___________         Member # _______________
Parking Permit Mailed _______

===========================================================================================================================================================================

Please complete the form and send along with your payment to:

The Friends
Rio Grande Nature Center
2901 Candelaria, NW
Albuquerque, New Mexico 87107

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