Weeks Bay Reserve Foundation
Membership Form


     In addition to supporting the work at the Reserve, you'll also receive the Foundation's quarterly newsletter, The Pelican Post, and updates on activities.

Please print this form from your printer, fill out all of the information
and mail it with your membership fee to:

Weeks Bay Foundation
11401 US Highway 98
Fairhope, AL 36532


Name: _________________________________________________________


Company/Organization: ___________________________________________


Address: _______________________________________________________


City: ____________________________ State: _____ Zip: ______________


Phone:    Home     (___________)____________________________

Phone:    Work     (___________)____________________________

E-mail address:     ________________________________________

Membership Fees:
(Check one.)
  Student $10/year
  Individual $30/year
  Family $50/year
  Business $250/year
 
Additional Donation

$____________________
 
Total Enclosed

$____________________


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