Online Membership Form | Friends of Five Rivers

Membership

Annual Dues *

Student/Senior - $ 25.00

Individual - $ 35.00

Family - $ 50.00

Patron - $ 100.00

Benefactor - $ 200.00

Sustainer - $ 500.00

Total Amount

I want to contribute this amount every year

Email Address *

Member Information

First Name *

Last Name *

Address *

Address Line 2

City

State *

Zip Code *

Home Phone *

Cell Phone

Additional Information

How did your hear about Friends?

I'd like to receive updates from friends

Mailing List

Yes No

I'd like to receive information on volunteer opportunities

Volunteer Opportunities

Yes No

Please include my name and support in Friends’ Annual Report.

Included in Annual Report