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Hop Brook Protection Association Membership Form

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HBPA MEMBERSHIP FORM
If you are interested in becoming a member of HBPA, please print out this form, fill in the information on how you would like to help and mail it to the address below.     

  PLEASE CHECK OFF YOUR
  AREAS OF INTEREST:
         __  Algae Harvesting from Ponds
         __  Shoreline Monitoring
         __  Grant Applications
         __  Publicity & Public Relations
         __  Membership Recruitment
         __  Newsletter Editing & Publishing
         __  Administration & Recordkeeping
         __  Fundraising
         __  Other:   __________________
   TYPES OF MEMBERSHIP:
         __  Student.................$5.00
         __  Associate..............$10.00
         __  Single....................$20.00
         __  Business................$25.00
         __  Family...................$40.00
         __  Patron...................$100.00
         __  Protector...............$200.00



     ~All donations to HBPA are tax deductible.~

     
 Name:  ___________________________________________

      Address:  __________________________________________________

      City:  ____________________     State:_________     Zip:____________

      Phone:  _______________________________________

      Email Address:  ____________________________________________

      Type of Membership:  ______________________________

      Amount Enclosed:  $_________________

Please mail this form along with your membership fee to:

HBPA
P.O. Box 707
 Sudbury, MA 01776

Thank you for your support!