Friends of Iroquois National Wildlife Refuge, Inc. needs your support!

To become a member, provide a gift membership,
or be a sponsor
, please print this web page,
enter all requested information, and send via mail to:

Friends of Iroquois National Wildlife Refuge
1101 Casey Road
Basom, New York 14013
(585)-948-5445

Membership Levels
Please place a check mark next to your desired membership level.
 
Double Eagle $1,000
Bald Eagle $500
Heron $200
Bluebird $100
Red Fox $75
Raccoon $50
Family $25
Individual $15
Business Sponsor $50 minimum
  Total enclosed: $__________
Personal Information
Please fill out all fields.

Name: ____________________________________
 
Address: __________________________________
__________________________________________
 
Phone: ___________________________________
 
e-mail: ___________________________________
 
Date: _____________

Gift membership for: (see below)

Name: _______________________________________

Membership level: _________________________
Address: _____________________________________
_____________________________________________
 
Phone: ______________________________________

Volunteer Interest

I am interested in volunteering, please contact me by:

phone e-mail.

Make checks payable to:
The Friends of Iroquois National Wildlife Refuge, Inc.




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