Membership Form

Please check a box to indicate your level of membership:

Guardian $1,000 and above

Benefactor $500 and above

Patron $250 and above

Sponsor $100 and above

Family $50 and above

Individual $35 and above

I can’t join now, but here is my gift of $______________

Contributions are tax-deductible as allowable by law. All members receive notices of Monoosnoc Brook events plus NRWA’s quarterly newsletter, discounts on NRWA events and merchandise, and voting privileges at the NRWA Annual Meeting.

My company has a matching gift program. I have enclosed the form.

Name:

Street Address:

City:

State:

Zip:

Phone:

Thank you for protecting the Monoosnoc Brook by becoming a member.

Mail to:

Monoosnoc Brook Greenway Project
PO Box 413
Leominster, MA 01453