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Friends of Quabbin, Inc. Membership Form

We thank you for helping to preserve the integrity of the Quabbin Reservation.

Annual Dues
New
      
Renewal


Please circle category

Individual $ 12.00

Family $ 20.00

Friend $ 50.00

Business Patron $100.00

Corporate Benefactor (non-voting) $200.00

Special Donation (Please specify: Coit Wildlife Fund, Oral History Fund, Memorial)


Name:

Address:



Phone:

Activities Interest (please circle)


Photography /History /Volunteering


Please make check payable to:
Friends of Quabbin, Inc.


Send to:
Friends of Quabbin, Inc.
Quabbin Reservoir Administration Building
485 Ware Road
Belchertown, MA 01007


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