Friends Application

Batsto Friends Membership Application (Rev-2)

Name: _____________________________________

Address: ___________________________________

City: ______________________________________

State: _____________________________________

Zip: _____________E-mail_____________________

I wish to support the efforts of the Batsto Citizens Committee, Inc. in carrying out the Batsto mission of presenting, interpreting, teaching, and providing special events by becoming a (please fill out your selection):

Note:

The Schedule shown below is effective January 1, 2003 for existing members and immediately for new members

Friend of Batsto - annual calendar year membership - - - $15.00 $____

(includes subscription to newsletter & any special mailings)

Patron – annual calendar year membership - - - - - - - - - - $35.00 $____

(Includes subscription to newsletter, special mailings, 10% discounts in Museum Shop & free summer parking)

Lifetime Friend – Friend membership dues paid for life -$200.00 $ ____

(Special recognition certificate suitable for framing)

Helping Beyond dues - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -$____

My Check is enclosed for: $_________
Donations are tax deductible to the extent permitted by law

PLEASE MAKE CHECKS PAYABLE TO:

Batsto Citizens Committee, Inc.

Send check and application to: Janet Worrell, BCCI Treasurer

Wharton State Forest

4110 Nesco Road

Hammonton, NJ 08037