the 2015 Membership Form
Transcription
the 2015 Membership Form
Please Support Quogue Wildlife Refuge BECOME A MEMBER TODAY Membership & Renewal YES! I WANT TO SUPPORT THE QUOGUE WILDLIFE REFUGE WITH A TAX-DEDUCTIBLE DONATION. ❑ Individual - $35 ❑ Family - $50 ❑ Sponsor - $100 ❑ Guardian - $1,000 ❑ Underwriter - $2,500 ❑ Benefactor - $5,000 ❑ Protector - $250 ❑ Patron - $500 ❑ Humanitarian - $10,000 ❑ Other______ With a donation of $35 or more, you become a member of Quogue Wildlife Refuge for the calendar year. M E M B E R B E N E F I T S A N D P R I V I L EG ES I N C LU D E: • • • • • • • Our quarterly newsletter mailed to you with upcoming events and interesting wildlife articles Free and discounted admissions to various programs, including priority sign up for our Summer Ecology Program Free use of snowshoes and cross country skis to use on our seven miles of trails 10% Discount on Gift Shop Purchases + Green Birthday Programs for Children A Quogue Wildlife Refuge Decal Invitation to our members only BBQ in June A great feeling knowing that you support the Quogue Wildlife Refuge where preservation and education are a priority Member donations help maintain the Refuge, protect wildlife, and support our many educational programs. Please make checks payable to: Quogue Wildlife Refuge. Please charge ❑ AMEX ❑ VISA ❑ MC ❑ Discover Mail to QUOGUE WILDLIFE REFUGE PO Box 492, Quogue, NY 11959 Card #____________________________________________________________________________ Exp. Date__________________ Name ________________________________________________________ Signature______________________________________ Address______________________________________________________________________________________________________ Billing Address (if different from mailing address)_____________________________________________________________________ City_______________________________________________________________ State__________________ Zip________________ Telephone _____________________________________ Email__________________________________________________________ PLEASE CHECK BELOW FOR MORE INFORMATION ON ESTATE PLANNING AND/OR GIFTS OF APPRECIATED STOCK OR LIFE INSURANCE. ❑ I have included Quogue Wildlife Refuge in my Will. ❑ Please contact me with information of how to include Quogue Wildlife Refuge in my Will. ❑ Please contact me with information on making gifts of appreciated stock or life insurance. Double your support and include Quogue Wildlife Refuge in your company’s Matching Gift Program! Quogue Wildlife Refuge is a nonprofit 501(c)(3) organization and is registered with the New York State Office of Charities Registration as Southampton Township Wildfowl Association, Inc. TAX ID # 23-7108469. (631) 653-4771, www.QuogueWildlifeRefuge.org, [email protected] Thank You!