YES, I WANT TO JOIN THE CANEY FORK WATERSHED ASSOCIATION AND SUPPORT THE EFFORTS OF OTHERS IN PROTECTING OUR WATERSHED!

NAME              ________________________________________

E-MAIL:           ________________________________________

                                                                                  
ADDRESS       ________________________________________

                        ________________________________________

                        ________________________________________              

 
 PHONE          ________________________________________

MEMBERSHIP CATEGORIES / CONTRIBUTION LEVELS

___  Pigtoe Mussel........$15.00      ___ Brown Trout...........$30.00    

___ River Otter.............$50.00      ___ Bluemask Darter..$250.00     

___ Great Blue Heron....$500.00                                             

PLEASE MAKE CHECKS PAYABLE TO: C. F. W. A. AND RETURN PAYMENT ALONG WITH THIS FORM TO:     CFWA   P.O. BOX 165   COOKEVILLE, TN 38503‑0165

MY VOLUNTEER INTERESTS ARE:

_____  Events planning         _____ Website         _____  Helping with mailings      

_____  School and community outreach        _____  Fundraising      

_____  Events monitoring (attending local planning meetings, etc.)

The Caney Fork Watershed Association is a tax exempt organization under 501(c)(3) of the Internal Revenue Code.  Contributions to the CFWA are tax deductible under Section 170 of the Code.