membership application...
Name: Residence Address: date:
City: State: Zip:
Alternate Address: date:
City: State: Zip: Residence Telephone (including area code): E -mail Address: Alternate E-mail:
I’m particularly interested in working on the following committees:
Yes! I want to help support MCWC protect our Lakes, streams and groundwater in Michigan, by joining and becoming a member of MCWC.
$25 Individual
$10 Student/Retired
$40 Family
$250 Lifetime Individual Member $250
$500 Lifetime Family Member $500
$_______ Other
Please online, or mail to Michigan Citizens for Water Conservation, PO Box 1, Mecosta, MI 49332.
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Last updated January 19, 2006