Please print clearly:
Name________________________________________________________________
Mailing Address________________________________________________________
City__________________________________ State_________ Zip______________
Phone________________________________________________________________
E-Mail________________________________________________________________
This membership is pledged for (Name of individual, family, or organization)
In Memory / or in Honor of_______________________________________________
Annual Membership: (Check one)
ο Dragonfly: up to
$49
ο Flicker:
$50-$99
ο Coyote:
$100-199
ο Sugar Pine: $200
-$499
ο Challenge
Adventurers: $500-$999
ο Adopt an Acre:
$1000 per acre
Membership Amount: __________________
I believe in
Kids
In
Nature!
(I would like to give additional $ to the Way Foundation's
KIN ship Scholarship Fund)
Additional Gift Donation: _______________
Total
Amount Enclosed: ________________
To pay by credit card, please download a PDF donation form
(see "Pledge Form 2008" in sidebar to left) and send to our
community office.
Your
contribution is tax-deductible as allowable by law.
Membership privileges are not transferable and do not
include special programs or visits with school groups. The
Way Foundation’s Tax I.D. #93-1198272
Please make
checks payable to The Way Foundation & return
to:
EarthTeach
Membership
76 Dewey Street
Ashland, OR 97520
………………………………………………………………………………………………………………………………………………………………………..
. (Remove top
section and return in enclosed
envelope)
Benefits
for ALL EarthTeach Forest Park Members:
•
Unlimited Year-round “free trespass”
•
Email Subscription to Community Events, Calendar, and Park
Newsletter
•
Membership acknowledgment on the EarthTeach website.
•
Seasonal overnight camping privledges
*
*One
week call ahead/ permission required.
•
Invitation to a Private Bonfire Event
For more
information about EarthTeach Forest Park & The Way
Foundation, please visit our websiteat
www.earthteach.org
contact us
at info@earthteach.org
or
call our office at (541) 601-4718.
ETFP Pledge Form
2008